1952068595 NPI number — MRS. MICHELLE MURCHISON LMBT 17638

Table of content: MS. BEVERLY LENN RHODES A8390501 (NPI 1649305194)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952068595 NPI number — MRS. MICHELLE MURCHISON LMBT 17638

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MURCHISON
Provider First Name:
MICHELLE
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMBT 17638
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952068595
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/20/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4140 FERNCREEK DR. BLDG 300
Provider Second Line Business Mailing Address:
STE 316
Provider Business Mailing Address City Name:
FAYETTEVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28314-2566
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
916-225-2890
Provider Business Mailing Address Fax Number:
910-387-8551

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4140 FERNCREEK DR BLDG 300
Provider Second Line Business Practice Location Address:
STE 316
Provider Business Practice Location Address City Name:
FAYETTEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28314-2566
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
916-225-2890
Provider Business Practice Location Address Fax Number:
910-387-8551
Provider Enumeration Date:
11/18/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  17638 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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