Provider Demographics
NPI:1699223271
Name:MURPHY, SUSAN E (FNP-C)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:E
Last Name:MURPHY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3239
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29502-3239
Mailing Address - Country:US
Mailing Address - Phone:843-366-3030
Mailing Address - Fax:843-663-0537
Practice Address - Street 1:4237 RIVER HILLS DR STE 170
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-6446
Practice Address - Country:US
Practice Address - Phone:843-366-3030
Practice Address - Fax:843-663-0537
Is Sole Proprietor?:No
Enumeration Date:2016-09-13
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF340818-1363LF0000X
SC21411363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily