Provider Demographics
NPI:1639527922
Name:MURPHY, RHONDA I
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:MURPHY
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20897 STATE ROUTE 206
Mailing Address - Street 2:PO BOX 95
Mailing Address - City:DOWNSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13755-0095
Mailing Address - Country:US
Mailing Address - Phone:607-363-7905
Mailing Address - Fax:
Practice Address - Street 1:20897 STATE ROUTE 206
Practice Address - Street 2:
Practice Address - City:DOWNSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13755-0095
Practice Address - Country:US
Practice Address - Phone:607-363-7905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY253525164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse