MS. ELIZABETH GULLOTTA MURCHIE MSN NPI 1699905604

NPI Information

NPI: 1699905604
Provider Name: MS. ELIZABETH GULLOTTA MURCHIE, MSN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
8550 HUDSON BLVD N
LAKE ELMO, MN
ZIP 55042
Phone: (651) 254-8580
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MS. Elizabeth Gullotta Murchie, MSN is a psychiatric/mental health nurse practitioner in Lake Elmo, MN. MS. Elizabeth Gullotta Murchie, MSN NPI is 1699905604. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8550 HUDSON BLVD N
LAKE ELMO, MN
ZIP 55042-500
Phone: (651) 254-8580
Fax: (651) 730-1700

The NPI 1699905604 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/24/2009 and was last updated on 12/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		382314	NEW YORK	No
2	363L00000X	Nurse Practitioner		5163	MINNESOTA	No
3	363LP0200X	Nurse Practitioner	Pediatrics	209007674	ILLINOIS	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5163	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03530352	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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