Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 96-00650 | NC |
N | 207V00000X | Obstetrician & Gynecologist | G155144 | CA |
NPI | 1013066034 |
---|---|
Provider Name | Amy Murtha |
First Address | Durham, NC 27713-4430 |
Second Address | San Francisco, CA 94143-2202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 13/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
61673 | BCBS (01) | NC |
8961673 | (05) | NC |
G28817 | (02) |