Provider Demographics
NPI:1639587009
Name:MURPHY, SEAN PATRICK (NP)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:PATRICK
Last Name:MURPHY
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:68353 CALLE LEON
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-6711
Mailing Address - Country:US
Mailing Address - Phone:312-213-2797
Mailing Address - Fax:
Practice Address - Street 1:815 N BROADWAY
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-1698
Practice Address - Country:US
Practice Address - Phone:646-396-6105
Practice Address - Fax:646-733-4026
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-29
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2388649363LP0808X
IL277001509363LP0808X
CA95016396363LP0808X
NY401727363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health