Provider Demographics
NPI:1164267274
Name:MURRAY, STEPHANIE KRISTINE
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:KRISTINE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11271 LOCKPORT CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2326
Mailing Address - Country:US
Mailing Address - Phone:513-546-0366
Mailing Address - Fax:
Practice Address - Street 1:311 ELM ST STE 2701577
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-2736
Practice Address - Country:US
Practice Address - Phone:513-645-3704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator