Provider Demographics
NPI:1861629024
Name:TAMARA L MURPHY
Entity Type:Organization
Organization Name:TAMARA L MURPHY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:614-604-2268
Mailing Address - Street 1:3614 ROSSLARE HARBOUR DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-7783
Mailing Address - Country:US
Mailing Address - Phone:614-604-2268
Mailing Address - Fax:
Practice Address - Street 1:3614 ROSSLARE HARBOUR DR
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7783
Practice Address - Country:US
Practice Address - Phone:614-604-2268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health