Provider Demographics
NPI:1235608761
Name:MILLER, MEGAN MURPHY (PMHNP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:MURPHY
Last Name:MILLER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:DIXON
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:365 BRIDGE ST APT 12H
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-3810
Mailing Address - Country:US
Mailing Address - Phone:484-889-9019
Mailing Address - Fax:
Practice Address - Street 1:365 BRIDGE ST APT 12H
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3810
Practice Address - Country:US
Practice Address - Phone:484-889-9019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2018-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2018034268363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health