Provider Demographics
NPI:1407664246
Name:MURPHY, MIYOSHI B
Entity type:Individual
Prefix:MRS
First Name:MIYOSHI
Middle Name:B
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MIYOSH1
Other - Middle Name:MICHELLE
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9505 ROYALTON DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71118-4318
Mailing Address - Country:US
Mailing Address - Phone:318-820-1384
Mailing Address - Fax:318-682-3851
Practice Address - Street 1:9505 ROYALTON DR
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71118-4318
Practice Address - Country:US
Practice Address - Phone:318-820-1384
Practice Address - Fax:318-682-3851
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)