Provider Demographics
NPI:1427705656
Name:MURRAY, NICOLE PAIGE (AG-ACNP)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:PAIGE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:AG-ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9165 E DEL CAMINO DR STE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4381
Mailing Address - Country:US
Mailing Address - Phone:480-434-6328
Mailing Address - Fax:
Practice Address - Street 1:9165 E DEL CAMINO DR STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4381
Practice Address - Country:US
Practice Address - Phone:480-569-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ264710363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology