Basic Information
Provider Information
NPI: 1912295130
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: ANNA
MiddleName: ROSE
NamePrefix: MRS.
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 MEETING HOUSE RD
Address2:  
City: CHELMSFORD
State: MA
PostalCode: 018242700
CountryCode: US
TelephoneNumber: 9782565522
FaxNumber: 9782565399
Practice Location
Address1: 2 MEETING HOUSE RD
Address2:  
City: CHELMSFORD
State: MA
PostalCode: 018242700
CountryCode: US
TelephoneNumber: 9782565522
FaxNumber: 9782565399
Other Information
ProviderEnumerationDate: 07/21/2011
LastUpdateDate: 05/12/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN2259734MAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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