Provider Demographics
NPI:1033306550
Name:MURPHY, JANICE KAY (RD)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:KAY
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5669 SHEEROCK CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2531
Mailing Address - Country:US
Mailing Address - Phone:410-992-3555
Mailing Address - Fax:
Practice Address - Street 1:14205 PARK CENTER DR
Practice Address - Street 2:SUITE 202
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5246
Practice Address - Country:US
Practice Address - Phone:301-498-9494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD01561133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered