Provider Demographics
NPI:1215254321
Name:MURPHY, AUDREY
Entity type:Individual
Prefix:MS
First Name:AUDREY
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:AUDREY
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:REGISTERED NURSE
Mailing Address - Street 1:1363 FRANKLIN AVE
Mailing Address - Street 2:APT#4E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-2413
Mailing Address - Country:US
Mailing Address - Phone:718-975-0938
Mailing Address - Fax:
Practice Address - Street 1:1363 FRANKLIN AVE
Practice Address - Street 2:APT#4E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-2413
Practice Address - Country:US
Practice Address - Phone:718-975-0938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY615688163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse