Provider Demographics
NPI:1457222580
Name:MURRY, SEAN DOYLE (FNP-C)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:DOYLE
Last Name:MURRY
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9816 E SUPERNOVA DR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212-1127
Mailing Address - Country:US
Mailing Address - Phone:602-617-1616
Mailing Address - Fax:
Practice Address - Street 1:1655 W CHANDLER BLVD STE 104
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6284
Practice Address - Country:US
Practice Address - Phone:602-617-1616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ238200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily