Provider Demographics
NPI:1487838561
Name:MURPHY, ANDREA LYNNE (RN)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:LYNNE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:LYNNE
Other - Last Name:RAGONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:36 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-2505
Mailing Address - Country:US
Mailing Address - Phone:516-203-6013
Mailing Address - Fax:
Practice Address - Street 1:230 LAUREL RD
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-1117
Practice Address - Country:US
Practice Address - Phone:516-203-6013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-24
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY678689-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse