Provider Demographics
NPI:1245549559
Name:MURPHY, ANNA ZANDER (APN/GNP)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:ZANDER
Last Name:MURPHY
Suffix:
Gender:F
Credentials:APN/GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 N RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-1017
Mailing Address - Country:US
Mailing Address - Phone:773-973-6300
Mailing Address - Fax:773-273-4121
Practice Address - Street 1:6300 N RIDGE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60660-1017
Practice Address - Country:US
Practice Address - Phone:773-973-6300
Practice Address - Fax:773-273-4121
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209001667363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
S96194Medicare UPIN