Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1073629192 |
---|---|
Provider Name | Mrs. Holly Arends Murphy |
First Address | Penobscot, ME 04476-4067 |
Second Address | Penobscot, ME 04476-4067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 23/02/2011 |