Provider Demographics
NPI:1407634470
Name:MURPHY, ERIN (PA)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:12 TYLER DR
Mailing Address - Street 2:
Mailing Address - City:ESSEX JCT
Mailing Address - State:VT
Mailing Address - Zip Code:05452-4639
Mailing Address - Country:US
Mailing Address - Phone:802-922-5930
Mailing Address - Fax:
Practice Address - Street 1:763 N REDWOOD RD STE 110
Practice Address - Street 2:
Practice Address - City:NORTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84054-2895
Practice Address - Country:US
Practice Address - Phone:801-292-1423
Practice Address - Fax:801-296-0436
Is Sole Proprietor?:No
Enumeration Date:2023-09-20
Last Update Date:2024-07-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant