Provider Demographics
NPI:1750492765
Name:MURPHY, HEIDI A (PA-C)
Entity Type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:A
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 CATHEDRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CRESSON
Mailing Address - State:PA
Mailing Address - Zip Code:16630-1228
Mailing Address - Country:US
Mailing Address - Phone:814-886-7882
Mailing Address - Fax:
Practice Address - Street 1:3000 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4472
Practice Address - Country:US
Practice Address - Phone:814-231-2101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA000765363A00000X
PAMA002335L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00278527OtherRAILROAD MEDICARE
PA1761001OtherBCBS
PAP00278527OtherRAILROAD MEDICARE
PA091726QD2Medicare ID - Type Unspecified