Provider Demographics
NPI:1982959193
Name:MURPHY-ROZANSKI, MICHELLE M (PHD, MSN, RN, CRNP)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:M
Last Name:MURPHY-ROZANSKI
Suffix:
Gender:F
Credentials:PHD, MSN, RN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3540 CHURCHILL LN
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1808
Mailing Address - Country:US
Mailing Address - Phone:215-637-2441
Mailing Address - Fax:
Practice Address - Street 1:3540 CHURCHILL LN
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1808
Practice Address - Country:US
Practice Address - Phone:215-637-2441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP006595B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily