Individual
DR. DEREK MCMURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
235 BRIDLE CREEK DR, SUITE 220, MONROE, OH 45050-1487
(513) 659-1673
(864) 546-4504
Mailing address
235 BRIDLE CREEK DR, SUITE 220, MONROE, OH 45050-1487
(513) 659-1673
(864) 546-4504
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19071
SC
363LF0000X
Family Nurse Practitioner
Primary
COA.14169-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP3213
SC MEDICAID ID#
SC
Enumeration date
09/22/2006
Last updated
03/27/2017
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