Doctor Name: | MS. MARY KATHERINE MURPHY |
NPI Number: | 1255313045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP/FNP-C |
License Number: | 2120582 |
Business Practice Address: | 306 Union Ave Crescent City, FL - 321124432 |
Business Phone Number: | 3866981232 |
Business Fax Number: | 3863251086 |
Mailing Address: | 900 Magnolia Ter, FLAGLER BEACH |
State: | FL |
Postal Code: | 321363473 |
Phone Number: | 3865033908 |
Fax Number: | |
NPI Enumeration Date: | 11/17/2005 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 2120582 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |