Provider Demographics
NPI:1205875762
Name:MURPHY, NANCY A (RD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 POST RD
Mailing Address - Street 2:STE 307
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-6016
Mailing Address - Country:US
Mailing Address - Phone:203-256-0048
Mailing Address - Fax:203-256-0049
Practice Address - Street 1:34 SMITH ST
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6637
Practice Address - Country:US
Practice Address - Phone:203-256-0048
Practice Address - Fax:203-256-0049
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000684133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered