Provider Demographics
NPI:1184157976
Name:MALPHRUS, ANN SPOTSWOOD BOYD (PA-C)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:SPOTSWOOD BOYD
Last Name:MALPHRUS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:3000 ERWIN RD
Mailing Address - Street 2:ROOM 100
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4504
Mailing Address - Country:US
Mailing Address - Phone:919-684-3104
Mailing Address - Fax:919-681-8703
Practice Address - Street 1:3000 ERWIN RD
Practice Address - Street 2:ROOM 100
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4504
Practice Address - Country:US
Practice Address - Phone:919-684-3104
Practice Address - Fax:919-681-8703
Is Sole Proprietor?:No
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC001007181363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant