MEDICARE: MEGAN MURPHY MS NUTRITION

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	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1992213490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MURPHY MS NUTRITION

Provider Business Mailing Address
First Line	:	224 VAN NESS AVE
Second Line	:
City	:	ASHLAND
State	:	OR
Zip	:	97520-1736
Country	:	US
Telephone Number	:	818-512-6578
Fax Number	:

Provider Business Practice Location Address
First Line	:	224 VAN NESS AVE
Second Line	:
City	:	ASHLAND
State	:	OR
Zip	:	97520-1736
Country	:	US
Telephone Number	:	818-512-6578
Fax Number	:

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

Provider Enumeration Date	:	01/18/2018
Last Update Date	:	01/18/2018

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Directions to “ MEGAN MURPHY MS NUTRITION” Practice Location

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