Individual
ANDRENE OLIVIA MURDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1510 ALHAMBRA CREST DR, RUSKIN, FL 33570-7914
(267) 261-0970
Mailing address
1510 ALHAMBRA CREST DR, RUSKIN, FL 33570-7914
(267) 261-0970
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN9534404
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11032897
FL
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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