Provider Demographics
NPI:1346013604
Name:MURPHY, BETTY ANN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:ANN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:BETTY
Other - Middle Name:ANN
Other - Last Name:TOY-SEADE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNA
Mailing Address - Street 1:8048 WATERFORD CIR APT 202
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-5109
Mailing Address - Country:US
Mailing Address - Phone:916-342-7776
Mailing Address - Fax:
Practice Address - Street 1:266 S FRONT ST APT 112
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-3018
Practice Address - Country:US
Practice Address - Phone:916-342-7776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ281759163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse