Provider Demographics
NPI:1346830585
Name:MURPHY, ANITA DENISE
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:DENISE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 FORT LEE RD
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23803-4857
Mailing Address - Country:US
Mailing Address - Phone:804-723-6868
Mailing Address - Fax:804-895-7924
Practice Address - Street 1:2421 FORT LEE RD
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-4857
Practice Address - Country:US
Practice Address - Phone:804-723-6868
Practice Address - Fax:804-895-7924
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator