Provider Demographics
NPI:1780910943
Name:MURKEN, NANCY (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:MURKEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4156 MARTINDALE LOOP
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33884-5239
Mailing Address - Country:US
Mailing Address - Phone:863-875-4176
Mailing Address - Fax:
Practice Address - Street 1:4156 MARTINDALE LOOP
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33884-5239
Practice Address - Country:US
Practice Address - Phone:863-875-4176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT290172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker