Provider Demographics
NPI:1376097402
Name:MURPHY, KATE LISCO (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:LISCO
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:DR
Other - First Name:KATE
Other - Middle Name:LISCO
Other - Last Name:TAUBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1124 ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-5312
Mailing Address - Country:US
Mailing Address - Phone:307-258-1395
Mailing Address - Fax:
Practice Address - Street 1:2546 E 2ND ST
Practice Address - Street 2:SUITE #200
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82609-2062
Practice Address - Country:US
Practice Address - Phone:307-265-1110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY38263.1536363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily