Provider Demographics
NPI:1861561318
Name:MURPHY, BARBARA A (APRN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:MURPHY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PILGRIM HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:PROVINCETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02657-1205
Mailing Address - Country:US
Mailing Address - Phone:508-487-7806
Mailing Address - Fax:
Practice Address - Street 1:MASHPEE MENTAL HEALTH CENTER
Practice Address - Street 2:400 NATHAN ELLIS HWY. - #1
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649
Practice Address - Country:US
Practice Address - Phone:508-477-5488
Practice Address - Fax:508-477-9334
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA262106364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPN0870OtherBCBS
MAQ62806Medicare UPIN
MAPN0870OtherBCBS