MEDICARE: MS. CONSTANCE REICH MURPHY MSN CRNP

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	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	TP001107G	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	232359401	OTHER	PA	MAIN LINE HEALTHCARE

General Provider Information

NPI Number	:	1275511255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CONSTANCE REICH MURPHY MSN CRNP

Provider Business Mailing Address
First Line	:	3535 MARKET ST
Second Line	:	SUITE 100
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-3309
Country	:	US
Telephone Number	:	215-746-1010
Fax Number	:	215-746-1032

Provider Business Practice Location Address
First Line	:	3535 MARKET ST
Second Line	:	SUITE 100
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-3309
Country	:	US
Telephone Number	:	215-746-1010
Fax Number	:	215-746-1032

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	08/22/2008

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