Individual provider · Type 1 NPI

Ethan O'Brien Murdock

Pediatric Nurse Practitioner · Rochester, NY

NPI number 1629915681 Active

Practice location

200 E River Rd
Rochester, NY 14623-1212

Mailing address

601 Elmwood Ave, Box 278984
Rochester, NY 14642-0001

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X865061 (NY)
Pediatric Nurse Practitioner Primary 363LP0200X383940 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1629915681

Ethan O'Brien Murdock's National Provider Identifier is 1629915681, issued on Apr 29, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Rochester, NY. The record was last updated on Jul 13, 2026.