Provider Demographics
NPI:1427380062
Name:MURPHY, JOAN ELLEN (RN)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:ELLEN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 CECIL A. MALONE DR.
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-3204
Mailing Address - Country:US
Mailing Address - Phone:607-273-7780
Mailing Address - Fax:607-277-1494
Practice Address - Street 1:127 CECIL A. MALONE DR.
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-3204
Practice Address - Country:US
Practice Address - Phone:607-273-7780
Practice Address - Fax:607-277-1494
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY231340-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse