Provider Demographics
NPI:1932304540
Name:MURPHY, MEGHAN MARY (ACNS-BC)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:MARY
Last Name:MURPHY
Suffix:
Gender:F
Credentials:ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W. 38TH STREET, SUITE 110
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705
Mailing Address - Country:US
Mailing Address - Phone:512-421-3869
Mailing Address - Fax:512-407-1873
Practice Address - Street 1:900 W. 38TH STREET, SUITE 110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705
Practice Address - Country:US
Practice Address - Phone:512-421-3869
Practice Address - Fax:512-407-1873
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX720962364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNTXB111216Medicare PIN
TX8J6314Medicare PIN