Provider Demographics
NPI:1265677827
Name:MURPHY, SANDRA FAYE (CLIENT SERVICES)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:FAYE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:CLIENT SERVICES
Other - Prefix:MRS
Other - First Name:YOLANDA
Other - Middle Name:MICHELLE
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DIRECTOR
Mailing Address - Street 1:3500 ENDURING FREEDOM CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-5592
Mailing Address - Country:US
Mailing Address - Phone:919-633-9542
Mailing Address - Fax:919-661-7795
Practice Address - Street 1:3500 ENDURING FREEDOM CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-5592
Practice Address - Country:US
Practice Address - Phone:919-633-9542
Practice Address - Fax:919-661-7795
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide