Provider Demographics
NPI:1427245638
Name:MURRAY, BLAYNE HOERNER (MIDWIFE)
Entity type:Individual
Prefix:MS
First Name:BLAYNE
Middle Name:HOERNER
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-1732
Mailing Address - Country:US
Mailing Address - Phone:216-382-5460
Mailing Address - Fax:
Practice Address - Street 1:1606 MAPLE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44121-1732
Practice Address - Country:US
Practice Address - Phone:216-382-5460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife