Provider Demographics
NPI:1437674967
Name:MURPHY, RITA JOHANNAH (RN;BSN)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:JOHANNAH
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN;BSN
Other - Prefix:MISS
Other - First Name:RITA
Other - Middle Name:JOHANNAH
Other - Last Name:BONNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:50 LATTIMORE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-4106
Mailing Address - Country:US
Mailing Address - Phone:585-208-3058
Mailing Address - Fax:
Practice Address - Street 1:50 LATTIMORE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-4106
Practice Address - Country:US
Practice Address - Phone:585-473-3714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-05
Last Update Date:2017-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258129163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice