Provider Demographics
NPI:1083483671
Name:MURPHY, MOLLY ANNE
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANNE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51229 CENTURY CT
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-2074
Mailing Address - Country:US
Mailing Address - Phone:248-529-1008
Mailing Address - Fax:
Practice Address - Street 1:51229 CENTURY CT
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-2074
Practice Address - Country:US
Practice Address - Phone:248-529-1008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-25
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator