Provider Demographics
NPI:1528755295
Name:MURPHY, ALICIA FAYE (RN)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:FAYE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:FAYE
Other - Last Name:HOLDREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:15 DOE ST
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-2129
Mailing Address - Country:US
Mailing Address - Phone:614-507-9693
Mailing Address - Fax:
Practice Address - Street 1:15 DOE ST
Practice Address - Street 2:
Practice Address - City:PLAIN CITY
Practice Address - State:OH
Practice Address - Zip Code:43064-2129
Practice Address - Country:US
Practice Address - Phone:614-507-9693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN277457163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health