Provider Demographics
NPI:1487422564
Name:MURRAY, TAMMY SUE
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:SUE
Last Name:MURRAY
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 1:1574 SOMERVILLE W ELKTON RD
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45064-9636
Mailing Address - Country:US
Mailing Address - Phone:513-280-7087
Mailing Address - Fax:
Practice Address - Street 1:1574 SOMERVILLE W ELKTON RD
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45064-9636
Practice Address - Country:US
Practice Address - Phone:513-280-7087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider