Provider Demographics
NPI:1952725624
Name:MURPHY, MONA SUE (RN, SCHOOL NURSE)
Entity Type:Individual
Prefix:MRS
First Name:MONA
Middle Name:SUE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN, SCHOOL NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36901 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4129
Mailing Address - Country:US
Mailing Address - Phone:440-975-3604
Mailing Address - Fax:440-975-3618
Practice Address - Street 1:36901 RIDGE RD
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4129
Practice Address - Country:US
Practice Address - Phone:440-975-3604
Practice Address - Fax:440-975-3618
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH217967163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool