Basic Information
Provider Information
NPI: 1033309455
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: ANNE-MARIE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4 CEDAR POND DR
Address2: APT. # 12
City: WARWICK
State: RI
PostalCode: 028866617
CountryCode: US
TelephoneNumber: 4017384229
FaxNumber: 4017388634
Practice Location
Address1: 2756 POST RD
Address2:  
City: WARWICK
State: RI
PostalCode: 028863003
CountryCode: US
TelephoneNumber: 4016916000
FaxNumber: 4017387718
Other Information
ProviderEnumerationDate: 08/01/2007
LastUpdateDate: 08/02/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WP0808XRN37697RIY Nursing Service ProvidersRegistered NursePsych/Mental Health

No ID Information.


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