Provider Demographics
NPI:1063188290
Name:MURRAY, ERIN MICHELLE (APRN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:MICHELLE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1343 N MCMULLEN BOOTH RD UNIT 6
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3241
Mailing Address - Country:US
Mailing Address - Phone:727-455-2961
Mailing Address - Fax:
Practice Address - Street 1:10707 66TH ST N STE A
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-2353
Practice Address - Country:US
Practice Address - Phone:727-826-0933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11012158363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner