Provider Demographics
NPI:1457647356
Name:MURPHY, ALEXANDRA J (BA,CASE MANAGER)
Entity Type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:F
Credentials:BA,CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1144
Mailing Address - Street 2:
Mailing Address - City:CROWNPOINT
Mailing Address - State:NM
Mailing Address - Zip Code:87313-1144
Mailing Address - Country:US
Mailing Address - Phone:505-786-2111
Mailing Address - Fax:505-786-5442
Practice Address - Street 1:2314 SW HIGHLAND DRIVE
Practice Address - Street 2:
Practice Address - City:CROWNPOINT
Practice Address - State:NM
Practice Address - Zip Code:87313-1144
Practice Address - Country:US
Practice Address - Phone:505-786-2111
Practice Address - Fax:505-786-2020
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM198284OtherMANAGED HEALTH CARE SYSTEM