Provider Demographics
NPI:1891086484
Name:MURPHY, MEAGHAN D (LPN)
Entity Type:Individual
Prefix:MISS
First Name:MEAGHAN
Middle Name:D
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HIGH VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WADING RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:11792-1026
Mailing Address - Country:US
Mailing Address - Phone:631-312-0796
Mailing Address - Fax:
Practice Address - Street 1:1 HIGH VIEW DR
Practice Address - Street 2:
Practice Address - City:WADING RIVER
Practice Address - State:NY
Practice Address - Zip Code:11792-1026
Practice Address - Country:US
Practice Address - Phone:631-312-0796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY269377164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse