Provider Demographics
NPI:1275898454
Name:MURPHY, PATRICIA C (FNP/PNP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:C
Last Name:MURPHY
Suffix:
Gender:F
Credentials:FNP/PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 SOUTHAMPTON AVENUE
Mailing Address - Street 2:CHKD NDC, REHAB. CLINIC
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1021
Mailing Address - Country:US
Mailing Address - Phone:757-668-7689
Mailing Address - Fax:
Practice Address - Street 1:850 SOUTHAMPTON AVENUE
Practice Address - Street 2:CHKD NDC, REHAB. CLINIC
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1021
Practice Address - Country:US
Practice Address - Phone:757-668-7689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00001083527363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024083527OtherVA NP LICENSE