Provider Demographics
NPI:1942436456
Name:MURPHY, M. KATHLEEN (RN, FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:M.
Middle Name:KATHLEEN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5225 W VLIET ST RM 200
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53208-2627
Mailing Address - Country:US
Mailing Address - Phone:414-475-8766
Mailing Address - Fax:414-475-8585
Practice Address - Street 1:5225 W VLIET ST RM 200
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53208-2627
Practice Address - Country:US
Practice Address - Phone:414-475-8766
Practice Address - Fax:414-475-8585
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI91729363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily