Provider Demographics
NPI:1891979795
Name:MURPHY, CHRISTINA AELEEN (LPN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:AELEEN
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 1:1576 SUSANNE CIR
Mailing Address - Street 2:
Mailing Address - City:BELPRE
Mailing Address - State:OH
Mailing Address - Zip Code:45714-2128
Mailing Address - Country:US
Mailing Address - Phone:304-916-0175
Mailing Address - Fax:
Practice Address - Street 1:1576 SUSANNE CIR
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-2128
Practice Address - Country:US
Practice Address - Phone:304-916-0175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN109233164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2646560Medicaid