Provider Demographics
NPI:1316822117
Name:MURRAY, EMMA (RE)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:RE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 PAINE CIR STE 11
Mailing Address - Street 2:
Mailing Address - City:BONDURANT
Mailing Address - State:IA
Mailing Address - Zip Code:50035-1449
Mailing Address - Country:US
Mailing Address - Phone:515-412-4917
Mailing Address - Fax:
Practice Address - Street 1:88 PAINE CIR STE 11
Practice Address - Street 2:
Practice Address - City:BONDURANT
Practice Address - State:IA
Practice Address - Zip Code:50035-1449
Practice Address - Country:US
Practice Address - Phone:515-412-4917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA129715374700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician