Provider Demographics
NPI:1528255833
Name:MURPHREE, LYNDA SMITH (ARNP, CNM)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:SMITH
Last Name:MURPHREE
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:LYNDA
Other - Middle Name:E
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1619 SIXTH STREET
Mailing Address - Street 2:
Mailing Address - City:ST. THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802
Mailing Address - Country:US
Mailing Address - Phone:340-244-1345
Mailing Address - Fax:340-777-6663
Practice Address - Street 1:1619 SIXTH STREET
Practice Address - Street 2:
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-244-1345
Practice Address - Fax:340-777-6663
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1091572367A00000X, 363L00000X
FLARNP 1091572363LF0000X
VIAP11210363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL304766100Medicaid
FL304766100Medicaid
FLP883Medicare UPIN
FLY4792YMedicare PIN