Provider Demographics
NPI:1801978531
Name:MURRISH, SALLY J (CNP)
Entity type:Individual
Prefix:
First Name:SALLY
Middle Name:J
Last Name:MURRISH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2196 MORRISON AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-5722
Mailing Address - Country:US
Mailing Address - Phone:216-386-0044
Mailing Address - Fax:216-712-6252
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:S3-395
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:216-636-5401
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-01904363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care