Provider Demographics
NPI:1598899734
Name:MCCAFFREY-MURPHY, MARY F (FNP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:F
Last Name:MCCAFFREY-MURPHY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 CROASDAILE FARM PARKWAY
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-1331
Mailing Address - Country:US
Mailing Address - Phone:919-384-2571
Mailing Address - Fax:919-384-2649
Practice Address - Street 1:2600 CROASDAILE FARM PKWY STE A500
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-1331
Practice Address - Country:US
Practice Address - Phone:919-384-2571
Practice Address - Fax:919-384-2649
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200789363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCS74861Medicare UPIN
NC2594387AMedicare ID - Type UnspecifiedMEDICARE #