Provider Demographics
NPI:1558078717
Name:MURPHY, SELENA M (PHD MSN CCM)
Entity Type:Individual
Prefix:DR
First Name:SELENA
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PHD MSN CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 JOHN DR
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-1808
Mailing Address - Country:US
Mailing Address - Phone:412-310-0988
Mailing Address - Fax:
Practice Address - Street 1:142 JOHN DR
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-1808
Practice Address - Country:US
Practice Address - Phone:412-310-0988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN526686L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty