Basic Information
Provider Information
NPI: 1659713394
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: NICOLE
MiddleName: SHERRI'
NamePrefix:  
NameSuffix:  
Credential: CFRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3726 GLENEAGLE DR
Address2:  
City: MURRYSVILLE
State: PA
PostalCode: 156681020
CountryCode: US
TelephoneNumber: 4123606235
FaxNumber:  
Practice Location
Address1: UNIVERSITY DRIVE C
Address2: DEPARTMENT OF VETERANS AFFAIRS
City: PITTSBURGH
State: PA
PostalCode: 152401000
CountryCode: US
TelephoneNumber: 8664827488
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/23/2013
LastUpdateDate: 06/04/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WE0003XRN549880PAY Nursing Service ProvidersRegistered NurseEmergency
163WF0300XRN346158OHN Nursing Service ProvidersRegistered NurseFlight

No ID Information.


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