Provider Demographics
NPI:1598541112
Name:MURTHA, SUSANNE (NBHWC, CPMC)
Entity Type:Individual
Prefix:
First Name:SUSANNE
Middle Name:
Last Name:MURTHA
Suffix:
Gender:F
Credentials:NBHWC, CPMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 NETOP DR
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-4846
Mailing Address - Country:US
Mailing Address - Phone:518-796-3755
Mailing Address - Fax:518-796-3755
Practice Address - Street 1:26 NETOP DR
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-4846
Practice Address - Country:US
Practice Address - Phone:518-796-3755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach