Basic Information
Provider Information
NPI: 1073143756
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: TAILAR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APN, WHNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2004 HAYES ST STE 310
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372032653
CountryCode: US
TelephoneNumber: 6156205535
FaxNumber:  
Practice Location
Address1: 2004 HAYES ST STE 310
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372032653
CountryCode: US
TelephoneNumber: 6156205535
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/22/2020
LastUpdateDate: 01/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X26911TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


Home