Provider Demographics
NPI:1699724724
Name:MURRAY, MONICA CHRISTINE (FNP-C)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:CHRISTINE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2606 KIMBERLY DR
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-2624
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7460 WARREN PKWY
Practice Address - Street 2:SUITE 160
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4169
Practice Address - Country:US
Practice Address - Phone:817-251-8719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX671197363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX206578104Medicaid
TX206578101Medicaid
TX206578102Medicaid
TXD07564OtherMEDICARE RR PALMETTO
TXDQ5280OtherMEDICARE RR PALMETTO
TX206578101Medicaid
TXTXB102276Medicare PIN
TXTXB102600Medicare PIN
TXTXB101026Medicare PIN
TX611924Medicare ID - Type Unspecified
TX8K7590Medicare PIN
TXTXB122654Medicare PIN
TXQ50268Medicare UPIN