Provider Demographics
NPI:1114499134
Name:MURPHY, ROSALIE F (LPN)
Entity Type:Individual
Prefix:
First Name:ROSALIE
Middle Name:F
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:ROSALIE
Other - Middle Name:FRANCES
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:342 ROBERTS AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-1713
Mailing Address - Country:US
Mailing Address - Phone:914-316-9763
Mailing Address - Fax:
Practice Address - Street 1:342 ROBERTS AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-1713
Practice Address - Country:US
Practice Address - Phone:914-316-9763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-02
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY271249-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty