Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | R195787 | MD |
NPI | 1568915718 |
---|---|
Provider Name | Kathleen Marie Murphy |
First Address | La Plata, MD 20646-4447 |
Second Address | Baltimore, MD 21201-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2016 |
Last Update Date | 10/12/2018 |