Provider Demographics
NPI:1962580076
Name:MURRAY, AMBER R (MSN)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:R
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 LEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-7666
Mailing Address - Country:US
Mailing Address - Phone:330-723-9688
Mailing Address - Fax:330-723-9697
Practice Address - Street 1:4800 LEDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-7666
Practice Address - Country:US
Practice Address - Phone:330-723-9688
Practice Address - Fax:330-723-9697
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRX07469363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily