Basic Information
Provider Information
NPI: 1255634614
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: MELINDA
MiddleName: ALBRITTON
NamePrefix: MRS.
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4864 JACKSON ST
Address2:  
City: MONROE
State: LA
PostalCode: 712026400
CountryCode: US
TelephoneNumber: 3183307652
FaxNumber: 3183307648
Practice Location
Address1: 4864 JACKSON ST
Address2:  
City: MONROE
State: LA
PostalCode: 712026400
CountryCode: US
TelephoneNumber: 3183307652
FaxNumber: 3183307648
Other Information
ProviderEnumerationDate: 12/07/2010
LastUpdateDate: 09/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XRN111611-AP06208LAY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

ID Information
IDTypeStateIssuerDescription
AP0620801LALOUISIANA STATE BOARD OF NURSINGOTHER
RN 11161101LALOUISIANA STATE BOARD OF NURSINGOTHER


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