MEDICARE: AIMEE MURPHY PA

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
1	363A00000X	Physician Assistant	C0007059	MD

General Provider Information

NPI Number	:	1104392521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE MURPHY PA

Provider Business Mailing Address
First Line	:	528 BALTIMORE ANNAPOLIS BLVD
Second Line	:
City	:	SEVERNA PARK
State	:	MD
Zip	:	21146-3816
Country	:	US
Telephone Number	:	703-725-3419
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 RIDGELY AVE STE 222-223
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-1001
Country	:	US
Telephone Number	:	104-266-8049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2018
Last Update Date	:	08/28/2024

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