Individual
MRS. CARRIE MURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5447 MAPLE LN, SUITE B, FAYETTEVILLE, WV 25840-6872
(304) 574-6900
Mailing address
5447 MAPLE LN, SUITE B, FAYETTEVILLE, WV 25840-6872
(304) 574-6900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA680
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000611992
ANTHEM BCBS
KY
01
—
000000626060
ANTHEM BCBS
OH
05
—
7100037100
—
KY
01
—
P00726123
RR MEDICARE
KY
Enumeration date
07/08/2006
Last updated
11/05/2014
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