Provider Demographics
NPI:1568080240
Name:MURPHY, CAMILLE SUZANNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAMILLE
Middle Name:SUZANNE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 W SUPERIOR ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55806-1856
Mailing Address - Country:US
Mailing Address - Phone:218-733-0707
Mailing Address - Fax:218-733-0717
Practice Address - Street 1:2701 W SUPERIOR ST
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55806-1856
Practice Address - Country:US
Practice Address - Phone:218-733-0707
Practice Address - Fax:218-733-0717
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-90106-0163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health