Provider Demographics
NPI:1073892170
Name:MURPHY, DAWN MARA (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MARA
Last Name:MURPHY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 MILL ST
Mailing Address - Street 2:SUITE # 208
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4784
Mailing Address - Country:US
Mailing Address - Phone:781-646-2848
Mailing Address - Fax:781-643-4308
Practice Address - Street 1:22 MILL ST
Practice Address - Street 2:SUITE # 208
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4784
Practice Address - Country:US
Practice Address - Phone:781-646-2848
Practice Address - Fax:781-643-4308
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2271244363LF0000X
NYF336690363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily