Individual
MR. BENJAMIN MURBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGNP-BC, A-GNP-C
Contact information
Practice address
14310 E 42ND ST S, INDEPENDENCE, MO 64055-7308
(816) 333-9200
Mailing address
14310 E 42ND ST S, UNIT 600, INDEPENDENCE, MO 64055-7308
(816) 333-9200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2015016104
MO
363LG0600X
Gerontology Nurse Practitioner
2015016104
MO
363LP2300X
Primary Care Nurse Practitioner
2015016104
MO
Other
Enumeration date
09/17/2015
Last updated
03/09/2016
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