Provider Demographics
NPI:1467961144
Name:MICHELLE MURPHY APRN PLLC
Entity Type:Organization
Organization Name:MICHELLE MURPHY APRN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:MAULWURF
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:612-271-6807
Mailing Address - Street 1:6636 CEDAR AVE S STE 380
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-2712
Mailing Address - Country:US
Mailing Address - Phone:612-271-6807
Mailing Address - Fax:844-703-6539
Practice Address - Street 1:6636 CEDAR AVE S STE 380
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-2712
Practice Address - Country:US
Practice Address - Phone:612-271-6807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-25
Last Update Date:2020-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1346462363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty