Provider Demographics
NPI:1508538489
Name:MURPHY, ANNA (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 INDIAN HILLS TRL
Mailing Address - Street 2:
Mailing Address - City:EDDYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42038-7546
Mailing Address - Country:US
Mailing Address - Phone:270-625-0410
Mailing Address - Fax:
Practice Address - Street 1:266 WATER ST
Practice Address - Street 2:
Practice Address - City:EDDYVILLE
Practice Address - State:KY
Practice Address - Zip Code:42038-7737
Practice Address - Country:US
Practice Address - Phone:270-388-2211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3016697363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily