Provider Demographics
NPI:1922129071
Name:MURPHY, ANNE M (LIC AC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-2733
Mailing Address - Country:US
Mailing Address - Phone:508-668-5228
Mailing Address - Fax:
Practice Address - Street 1:869 MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2985
Practice Address - Country:US
Practice Address - Phone:508-668-5228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA219561171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist