Provider Demographics
NPI:1700558780
Name:MURPHY, CATHLEEN ANN (RN)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:ANN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 LEWIS AVE
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1709
Mailing Address - Country:US
Mailing Address - Phone:914-582-9240
Mailing Address - Fax:
Practice Address - Street 1:56 SUN UP RD
Practice Address - Street 2:
Practice Address - City:STORMVILLE
Practice Address - State:NY
Practice Address - Zip Code:12582-5124
Practice Address - Country:US
Practice Address - Phone:914-582-9240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY444940163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics