Provider Demographics
NPI:1316597362
Name:MURPHY, NATACHA REGINA (BS)
Entity Type:Individual
Prefix:MRS
First Name:NATACHA
Middle Name:REGINA
Last Name:MURPHY
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 179201
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-9201
Mailing Address - Country:US
Mailing Address - Phone:314-328-2256
Mailing Address - Fax:
Practice Address - Street 1:34 MONTAUK DRIVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-4248
Practice Address - Country:US
Practice Address - Phone:314-328-2256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-11
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health