Provider Demographics
NPI:1255965570
Name:MURPHY, ANTOINETTE (CNA)
Entity type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2962 2ND ST SE APT 12
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-1761
Mailing Address - Country:US
Mailing Address - Phone:202-749-0225
Mailing Address - Fax:
Practice Address - Street 1:2962 2ND ST SE APT 12
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-1761
Practice Address - Country:US
Practice Address - Phone:202-749-0225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNA0000040509376K00000X
DCHHA15410374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide