Provider Demographics
NPI:1649598590
Name:EMISSAH, SHIRLEY MURPHY
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:MURPHY
Last Name:EMISSAH
Suffix:
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 1:201 S LAKELINE BLVD
Mailing Address - Street 2:SUTIE 401
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2718
Mailing Address - Country:US
Mailing Address - Phone:512-965-4212
Mailing Address - Fax:512-996-0035
Practice Address - Street 1:201 S LAKELINE BLVD
Practice Address - Street 2:SUTIE 401
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2718
Practice Address - Country:US
Practice Address - Phone:512-965-4212
Practice Address - Fax:512-996-0035
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-16
Last Update Date:2010-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172A00000XOther Service ProvidersDriver
No172V00000XOther Service ProvidersCommunity Health Worker
No177F00000XOther Service ProvidersLodging
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376G00000XNursing Service Related ProvidersNursing Home Administrator