Provider Demographics
NPI:1881362333
Name:MURPHY, AMY GABRIELLE (CRNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:GABRIELLE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 18TH PL SW
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-4723
Mailing Address - Country:US
Mailing Address - Phone:205-306-7439
Mailing Address - Fax:
Practice Address - Street 1:1401 18TH PL SW
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211-4723
Practice Address - Country:US
Practice Address - Phone:205-306-7439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL202018821363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics