Basic Information
Provider Information
NPI: 1649478785
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: STEPHEN
MiddleName: V
NamePrefix: MR.
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8234 CARRINGTON DR
Address2:  
City: TRUSSVILLE
State: AL
PostalCode: 351734566
CountryCode: US
TelephoneNumber: 2054760565
FaxNumber:  
Practice Location
Address1: 1910 CHEROKEE AVE SW
Address2:  
City: CULLMAN
State: AL
PostalCode: 350555502
CountryCode: US
TelephoneNumber: 2567393500
FaxNumber: 2054672035
Other Information
ProviderEnumerationDate: 07/10/2007
LastUpdateDate: 04/13/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X1073607ALY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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