Provider Demographics
NPI:1063112019
Name:MURRAY, SHANITA JOY (RN BSN CD CPD)
Entity type:Individual
Prefix:
First Name:SHANITA
Middle Name:JOY
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RN BSN CD CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2506
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-0506
Mailing Address - Country:US
Mailing Address - Phone:908-456-4187
Mailing Address - Fax:
Practice Address - Street 1:1061 PLAINFIELD AVE
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-2753
Practice Address - Country:US
Practice Address - Phone:905-456-4187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula