Provider Demographics
NPI:1750836359
Name:MURPHY, LAURA (PMHNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3777
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3777
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1220 SENDA DEL VALLE
Practice Address - Street 2:UNIT D
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-7738
Practice Address - Country:US
Practice Address - Phone:509-590-6251
Practice Address - Fax:505-913-6489
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCNP-02980363LP0808X
CT10492363LP0808X
OR10032857363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT10492OtherBOARD OF NURSING