Provider Demographics
NPI:1699159996
Name:MURPHY, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:MURPHY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7430 NE 202ND PL
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-2172
Mailing Address - Country:US
Mailing Address - Phone:425-518-9660
Mailing Address - Fax:425-286-6591
Practice Address - Street 1:7430 NE 202ND PL
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-2172
Practice Address - Country:US
Practice Address - Phone:425-518-9660
Practice Address - Fax:425-286-6591
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60289397163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse