Provider Demographics
NPI:1780356469
Name:PATERRA-MURPHY, ANNA MARIA (CPHT)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:PATERRA-MURPHY
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46977 ROMEO PLANK RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-3509
Mailing Address - Country:US
Mailing Address - Phone:586-286-4285
Mailing Address - Fax:
Practice Address - Street 1:46977 ROMEO PLANK RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-3509
Practice Address - Country:US
Practice Address - Phone:586-286-4283
Practice Address - Fax:586-286-8946
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician