LEE M MACMURDO FNP NPI 1396850871

NPI Information

NPI: 1396850871
Provider Name: LEE M MACMURDO, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
410 N HANCOCK AVE
ODESSA, TX
ZIP 79761
Phone: (432) 279-0905
Get Directions

Lee M Macmurdo, FNP is a family nurse practitioner in Odessa, TX. Lee M Macmurdo, FNP NPI is 1396850871. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

410 N HANCOCK AVE
ODESSA, TX
ZIP 79761-140
Phone: (432) 279-0905

The enumeration date for this NPI number is 8/21/2006 and was last updated on 2/24/2020.

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		630161	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	630161	TEXAS	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	175135601	MEDICAID	TEXAS
2	1751356-01	MEDICAID	TEXAS

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: 5/5/2024

NPI Synchronization or Removal

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