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Individual

MS. KERI MURRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
875 ENFIELD ST, ENFIELD, CT 06082-3617
(866) 389-2727
Mailing address
875 ENFIELD ST, ENFIELD, CT 06082-3617
(866) 389-2727

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
003366
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004259124
CT
01
030366
CONNECTICARE
CT
01
2V7309
HEALTH NET
CT
01
400003366CT01
ANTHEM
CT
Enumeration date
08/09/2006
Last updated
02/08/2018
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