Provider Demographics
NPI:1619463072
Name:MURPHY, KRISTIE JEAN (CNP)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:JEAN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MRS
Other - First Name:KRISTIE
Other - Middle Name:JEAN
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:50 MARQUIS RD
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04032-6477
Mailing Address - Country:US
Mailing Address - Phone:207-865-6131
Mailing Address - Fax:207-865-9399
Practice Address - Street 1:390 US ROUTE 1
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-6713
Practice Address - Country:US
Practice Address - Phone:207-289-3660
Practice Address - Fax:207-883-1506
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP181083363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology