Provider Demographics
NPI:1740807114
Name:MURPHY-MILLER, SHANNON ELIZABETH (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:SHANNON
Middle Name:ELIZABETH
Last Name:MURPHY-MILLER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6332 RT 102
Mailing Address - Street 2:
Mailing Address - City:GUILDHALL
Mailing Address - State:VT
Mailing Address - Zip Code:05905
Mailing Address - Country:US
Mailing Address - Phone:603-722-8136
Mailing Address - Fax:
Practice Address - Street 1:35 BEL AIRE DR
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-4953
Practice Address - Country:US
Practice Address - Phone:802-334-2878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-01
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH071232-23363L00000X
VT101.0135068363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner