Provider Demographics
NPI:1225333016
Name:MURPHY, ANN (EAMP, LMP)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:EAMP, LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5402 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:WA
Mailing Address - Zip Code:98407-3105
Mailing Address - Country:US
Mailing Address - Phone:120-635-5787
Mailing Address - Fax:
Practice Address - Street 1:313 S 7TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-3707
Practice Address - Country:US
Practice Address - Phone:253-254-6063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-25
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 60202610171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist