Basic Information
Provider Information
NPI: 1124243035
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: MARY
MiddleName: AMANDA
NamePrefix:  
NameSuffix:  
Credential: CNM-MSN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 119 HENDERSONVILLE RD
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288032868
CountryCode: US
TelephoneNumber: 8287715500
FaxNumber: 8287715454
Practice Location
Address1: 119 HENDERSONVILLE RD
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288032868
CountryCode: US
TelephoneNumber: 8287715500
FaxNumber: 8287715454
Other Information
ProviderEnumerationDate: 04/16/2007
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X184612NCN Nursing Service ProvidersRegistered Nurse 
207V00000X12380NCN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
367A00000X390NCY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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