Provider Demographics
NPI:1992703755
Name:MURTAGH, BARBARA (CRNA)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:MURTAGH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10951 GULF SHORE DR
Mailing Address - Street 2:301
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-1744
Mailing Address - Country:US
Mailing Address - Phone:419-509-2088
Mailing Address - Fax:
Practice Address - Street 1:10951 GULF SHORE DR
Practice Address - Street 2:301
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1744
Practice Address - Country:US
Practice Address - Phone:419-509-2088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH133277367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00478844OtherRAILROAD MEDICARE
FL3077750100Medicaid
FLG4029OtherBCBS