Provider Demographics
NPI:1619605920
Name:MURPHY, CIERRA NICOLE (IBCLC)
Entity Type:Individual
Prefix:
First Name:CIERRA
Middle Name:NICOLE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 BRIDFORD DOWNS DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-2775
Mailing Address - Country:US
Mailing Address - Phone:919-491-2176
Mailing Address - Fax:
Practice Address - Street 1:309 BRIDFORD DOWNS DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2775
Practice Address - Country:US
Practice Address - Phone:919-491-2176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-13
Last Update Date:2022-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
305228174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN