Individual
MRS. BRENDA JO MURRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CFNP, CPNP
Contact information
Practice address
2259 CALLE CACIQUE, SANTA FE, NM 87505-4909
(505) 984-8904
(505) 984-9969
Mailing address
2259 CALLE CACIQUE, SANTA FE, NM 87505-4909
(505) 984-8904
(505) 984-9969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
178933
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3526
—
NM
05
—
68392517
—
NM
01
—
8HH579
PROVIDER MEDICARE #
NM
01
—
HSZ196
MEDICARE PART B
NM
Enumeration date
06/12/2006
Last updated
10/21/2010
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