Provider Demographics
NPI:1215238613
Name:MURPHY, CHRISTIINA MARISSA (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIINA
Middle Name:MARISSA
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:104 ENDICOTT ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3623
Mailing Address - Country:US
Mailing Address - Phone:978-882-6868
Mailing Address - Fax:978-882-6828
Practice Address - Street 1:104 ENDICOTT ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-3623
Practice Address - Country:US
Practice Address - Phone:978-882-6868
Practice Address - Fax:978-882-6844
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2014-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA4098363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAIN PROCESSMedicare UPIN