Individual
PHYLLIS GAYLE MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12301 GRAPEFIELD RD, BASTIAN, VA 24314-4547
(276) 688-4331
Mailing address
1596 MOUNT OLIVE RD, ROCK, WV 24747-9622
(304) 910-2860
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024185136
VA
363LF0000X
Family Nurse Practitioner
113798
WV
Other
Enumeration date
07/25/2022
Last updated
09/15/2022
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