Provider Demographics
NPI:1407661812
Name:MUROV, MAUREEN SPILLANE
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:SPILLANE
Last Name:MUROV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71104-4401
Mailing Address - Country:US
Mailing Address - Phone:318-918-3454
Mailing Address - Fax:
Practice Address - Street 1:435 FOREST AVE
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71104-4401
Practice Address - Country:US
Practice Address - Phone:318-918-3454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula