Provider Demographics
NPI:1689303653
Name:MURRAY, STACEY ANNE
Entity type:Individual
Prefix:MS
First Name:STACEY
Middle Name:ANNE
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 1:12 ETON CT
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801-3334
Mailing Address - Country:US
Mailing Address - Phone:908-391-6236
Mailing Address - Fax:
Practice Address - Street 1:12 ETON CT
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:NJ
Practice Address - Zip Code:08801-3334
Practice Address - Country:US
Practice Address - Phone:908-391-6236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula