Provider Demographics
NPI:1992280010
Name:MURRAY, EMILY CARR (RD, LDN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:CARR
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 MONTE BELLA PL
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5866
Mailing Address - Country:US
Mailing Address - Phone:615-717-8589
Mailing Address - Fax:
Practice Address - Street 1:85 WHITE BRIDGE RD STE 302
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-1565
Practice Address - Country:US
Practice Address - Phone:615-238-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-25
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3494133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3494OtherTENNESSEE STATE LICENSURE BOARD