Provider Demographics
NPI:1679908214
Name:MURRAY-TRETO, MINDY LEE (RNC)
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:LEE
Last Name:MURRAY-TRETO
Suffix:
Gender:F
Credentials:RNC
Other - Prefix:
Other - First Name:MINDY
Other - Middle Name:MURRAY
Other - Last Name:TRETO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RNC
Mailing Address - Street 1:207 N SMITH ST
Mailing Address - Street 2:
Mailing Address - City:BURGAW
Mailing Address - State:NC
Mailing Address - Zip Code:28425-5427
Mailing Address - Country:US
Mailing Address - Phone:910-431-3303
Mailing Address - Fax:
Practice Address - Street 1:100 BREWSTER BLVD
Practice Address - Street 2:
Practice Address - City:CAMP LEJEUNE
Practice Address - State:NC
Practice Address - Zip Code:28547-2538
Practice Address - Country:US
Practice Address - Phone:910-450-3885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-13
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC195185163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient