Provider Demographics
NPI:1013748771
Name:MURRAY, MONICA KAY (RN)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:KAY
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 BROOKEVIEW DRIVE FOLLANSBEE WV 26037
Mailing Address - Street 2:
Mailing Address - City:FOLLANSBEE
Mailing Address - State:WV
Mailing Address - Zip Code:26037
Mailing Address - Country:US
Mailing Address - Phone:304-531-1458
Mailing Address - Fax:
Practice Address - Street 1:119 BROOKEVIEW DRIVE FOLLANSBEE WV 26037
Practice Address - Street 2:
Practice Address - City:FOLLANSBEE
Practice Address - State:WV
Practice Address - Zip Code:26037
Practice Address - Country:US
Practice Address - Phone:304-531-1458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV113988163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse