Basic Information
Provider Information
NPI: 1033282066
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: ANN
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 19500 10TH AVE
Address2: SUITE 100
City: POULSBO
State: WA
PostalCode: 983700000
CountryCode: US
TelephoneNumber: 3605987500
FaxNumber: 3605987505
Practice Location
Address1: 19500 10TH AVE
Address2: SUITE 100
City: POULSBO
State: WA
PostalCode: 983700000
CountryCode: US
TelephoneNumber: 3605987500
FaxNumber: 3605987505
Other Information
ProviderEnumerationDate: 11/16/2006
LastUpdateDate: 04/14/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003XMD00027261WAY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology

No ID Information.


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