Murrell, Carrie

Murrell, Carrie is an individual health care provider with primary practice located at 5447 Maple Ln Suite B, Fayetteville WV 25840-6872. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Murrell, Carrie can be contacted via phone (304) 574-6900.

Contact Information

Primary practice address
5447 Maple Ln Suite B Fayetteville WV 25840-6872
Phone: (304) 574-6900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA680 Kentucky

Profile Details

NPI number 1588697130
LBN Legal business name Murrell, Carrie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Nov 5th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588697130 NPPES
Kentucky MEDICAID 7100037100
Kentucky Other 000000626060
Kentucky Other P00726123
Kentucky Other 000000611992

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