Provider Demographics
NPI:1790243921
Name:MURPHY, KATIE RENE (NP)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:RENE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:NP
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:85 RETREAT AVENUE
Mailing Address - Street 2:HARTFORD HOSPITAL ONCOLOGY DEPT
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-2555
Mailing Address - Country:US
Mailing Address - Phone:860-972-4183
Mailing Address - Fax:
Practice Address - Street 1:85 RETREAT AVENUE
Practice Address - Street 2:HARTFORD HOSPITAL ONCOLOGY DEPT
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-2555
Practice Address - Country:US
Practice Address - Phone:860-972-4183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-06
Last Update Date:2024-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2018057880363LF0000X
CT010427363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily