Provider Demographics
NPI:1548380926
Name:MURPHY, GLENNA SUSAN (RN)
Entity type:Individual
Prefix:MRS
First Name:GLENNA
Middle Name:SUSAN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:GLENNA
Other - Middle Name:SUSAN
Other - Last Name:FROST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12476 N 57TH AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85304-1854
Mailing Address - Country:US
Mailing Address - Phone:623-776-8638
Mailing Address - Fax:
Practice Address - Street 1:3333 W BANFF LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85053-4723
Practice Address - Country:US
Practice Address - Phone:602-896-5510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN028488163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool