Provider Demographics
NPI:1487641478
Name:MURPHY-ALTHOUSE, LYDIA EVELYN (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:LYDIA
Middle Name:EVELYN
Last Name:MURPHY-ALTHOUSE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-272-8173
Mailing Address - Fax:717-272-4029
Practice Address - Street 1:850 TUCK ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7477
Practice Address - Country:US
Practice Address - Phone:717-272-8173
Practice Address - Fax:717-272-4029
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA5186350363LF0000X
PASP007579363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA067345D7MMedicare ID - Type Unspecified
PAP81143Medicare UPIN