Provider Demographics
NPI:1508578584
Name:MURPHY, KATHERINE JANEWAY (APRN, CNM)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JANEWAY
Last Name:MURPHY
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Gender:F
Credentials:APRN, CNM
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Mailing Address - Street 1:11109 PARKVIEW PLAZA DR # 117
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46845-1701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:442 W HIGH ST STE 3
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:OH
Practice Address - Zip Code:43506-1681
Practice Address - Country:US
Practice Address - Phone:419-636-4517
Practice Address - Fax:419-636-6438
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-21
Last Update Date:2024-03-07
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Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNM.0019544367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty