Provider Demographics
NPI:1306737911
Name:MURPHY, THEA EMOGENE (MSN, FNP-C)
Entity type:Individual
Prefix:
First Name:THEA
Middle Name:EMOGENE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 HERITAGE AVE STE 1478
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5899
Mailing Address - Country:US
Mailing Address - Phone:917-806-9771
Mailing Address - Fax:917-806-9771
Practice Address - Street 1:KITTERY FAMILY PRACTICE
Practice Address - Street 2:35 WALKER STREET
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904
Practice Address - Country:US
Practice Address - Phone:207-439-4430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP251137363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily