Provider Demographics
NPI:1275195653
Name:MURPHY, LATOYA C (NP)
Entity Type:Individual
Prefix:MS
First Name:LATOYA
Middle Name:C
Last Name:MURPHY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:LATOYA
Other - Middle Name:C
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:10320 W MCDOWELL RD STE A1004
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-4865
Mailing Address - Country:US
Mailing Address - Phone:480-553-9478
Mailing Address - Fax:480-781-4731
Practice Address - Street 1:10320 W MCDOWELL RD STE 1004
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-4865
Practice Address - Country:US
Practice Address - Phone:480-553-9478
Practice Address - Fax:480-781-4731
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-05
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ256194363LP0808X
TX809373363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXSTUDENTMedicaid