Provider Demographics
NPI:1184971079
Name:MURPHY, SHEILA (RN CDE)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 CHAPMAN DR
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53189-7220
Mailing Address - Country:US
Mailing Address - Phone:262-951-1434
Mailing Address - Fax:
Practice Address - Street 1:205 BISHOPS WAY
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53005-6247
Practice Address - Country:US
Practice Address - Phone:262-270-9384
Practice Address - Fax:262-827-7042
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI87993-30163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator