Provider Demographics
NPI:1316787781
Name:MURPHY, THERESA (FNP-C)
Entity type:Individual
Prefix:MS
First Name:THERESA
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:
Other - Last Name:HUSK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1016 FAIRHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23322-4665
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1016 FAIRHAVEN RD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-4665
Practice Address - Country:US
Practice Address - Phone:757-333-1149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024186464207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine