Provider Demographics
NPI:1265516298
Name:SANTOM MURPHY, CATHERINE (RNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:SANTOM MURPHY
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANN
Other - Last Name:SANTOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNP
Mailing Address - Street 1:96 AMESBURY ST
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-5606
Mailing Address - Country:US
Mailing Address - Phone:978-852-6013
Mailing Address - Fax:781-246-1446
Practice Address - Street 1:30 NEWCROSSING RD
Practice Address - Street 2:SUITE # 310
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3254
Practice Address - Country:US
Practice Address - Phone:781-944-1166
Practice Address - Fax:781-944-1168
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA145682363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0382141Medicaid
MANP0921OtherBC/BS MA
MANP0921OtherBC/BS MA
MANP0921Medicare ID - Type Unspecified