Individual
MRS. SUSAN K MURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
442 W HIGH ST STE 3, BRYAN, OH 43506-1681
(419) 636-4517
(419) 636-6438
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.04092
OH
363LP2300X
Primary Care Nurse Practitioner
NP04092
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278075
—
OH
Enumeration date
08/16/2006
Last updated
10/03/2022
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