Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 200457 | NC |
Y | 363LG0600X | Nurse Practitioner - Gerontology | 200457 | NC |
NPI | 1013954791 |
---|---|
Provider Name | Elisabeth Scott Murphy |
First Address | Black Mountain, NC 28711-6302 |
Second Address | Black Mountain, NC 28711-6302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 21/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1558F | BCBS-NC (01) | NC |