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NPI Code Detail

MEDICARE: JOANNA MURPHY RN

MEDICARE: JOANNA MURPHY RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WN0002XNeonatal Intensive Care Registered NurseRN181184AZ

General Provider Information

NPI Number : 1053241794
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA MURPHY RN
Provider Business Mailing Address
First Line : 3111 W SHANNON DR
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-1087
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1200 N BEAVER ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-3118
Country : US
Telephone Number : 228-243-0134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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