Provider Demographics
NPI:1144830662
Name:MURPHY, ANGELA MARIE
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 MURPHY ROAD
Mailing Address - Street 2:
Mailing Address - City:AMHERSTDALE
Mailing Address - State:WV
Mailing Address - Zip Code:25607
Mailing Address - Country:US
Mailing Address - Phone:681-352-4168
Mailing Address - Fax:
Practice Address - Street 1:167 MURPHY ROAD
Practice Address - Street 2:
Practice Address - City:AMHERSTDALE
Practice Address - State:WV
Practice Address - Zip Code:25607
Practice Address - Country:US
Practice Address - Phone:681-352-4168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-10
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant