Provider Demographics
NPI:1376766980
Name:MURPHY, CONSTANCE BROWN (ARNP)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:BROWN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19000 PORTOFINO CIR
Mailing Address - Street 2:APT. 122
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-1298
Mailing Address - Country:US
Mailing Address - Phone:561-263-2000
Mailing Address - Fax:561-575-6095
Practice Address - Street 1:1025 MILITARY TRL
Practice Address - Street 2:SUITE 100
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7040
Practice Address - Country:US
Practice Address - Phone:561-263-2000
Practice Address - Fax:561-575-6095
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1555612363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
000Y6379NOtherMEDICARE PROVIDER #000Y6379N
FLS38760Medicare UPIN