Individual
DIANE MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
520 S 19TH ST, STE 1B, PHILADELPHIA, PA 19146-1449
(215) 545-4173
(215) 545-1543
Mailing address
35 WATERVIEW DR, PILESGROVE, NJ 08098-2648
(856) 769-3316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN532906L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018676340001
—
PA
Enumeration date
07/06/2005
Last updated
07/08/2007
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