Doctor Name: | SHELLY A MURPHY |
NPI Number: | 1205994431 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMH-NP, PMHCNS, BC |
License Number: | CNP81167 |
Business Practice Address: | 7 Hatch Dr Suite 245 Caribou, ME - 047362159 |
Business Phone Number: | 2074921045 |
Business Fax Number: | 2074921046 |
Mailing Address: | 7 Hatch Drive, Suite 245 CARIBOU |
State: | ME |
Postal Code: | 04736 |
Phone Number: | 2074921045 |
Fax Number: | 2074921046 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 03/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | CNP81167 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |