Provider Demographics
NPI:1811535149
Name:MURDOCK, AMY LYNN (MS, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:MURDOCK
Suffix:
Gender:F
Credentials:MS, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 HIGHWAY 365 STE 101
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-6268
Mailing Address - Country:US
Mailing Address - Phone:409-724-2600
Mailing Address - Fax:409-724-2637
Practice Address - Street 1:2400 HIGHWAY 365 STE 101
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-6268
Practice Address - Country:US
Practice Address - Phone:409-724-2600
Practice Address - Fax:409-724-2637
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144403363LF0000X
TXF11190885363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily