Provider Demographics
NPI:1104633569
Name:MURPHY, ANN AFTON
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:AFTON
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29858 US HWY 14
Mailing Address - Street 2:
Mailing Address - City:LONE ROCK
Mailing Address - State:WI
Mailing Address - Zip Code:53556-4152
Mailing Address - Country:US
Mailing Address - Phone:608-485-1384
Mailing Address - Fax:
Practice Address - Street 1:29858 US HWY 14
Practice Address - Street 2:
Practice Address - City:LONE ROCK
Practice Address - State:WI
Practice Address - Zip Code:53556-4152
Practice Address - Country:US
Practice Address - Phone:608-485-1384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI331995164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse