Provider Demographics
NPI:1962444034
Name:MURPHY, KATHY ANNE (PNP-BC)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:ANNE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PNP-BC
Other - Prefix:MRS
Other - First Name:KATHLEEN
Other - Middle Name:ANNE
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1405 CLIFTON RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1060
Mailing Address - Country:US
Mailing Address - Phone:404-785-6330
Mailing Address - Fax:404-785-6266
Practice Address - Street 1:1405 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1060
Practice Address - Country:US
Practice Address - Phone:404-785-6330
Practice Address - Fax:404-785-6266
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN092881363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner