Healthcare Provider Details

I. General information

NPI: 1902961600
Provider Name (Legal Business Name): JOAN RUTH MURPHY RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/25/2006
Last Update Date: 12/30/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2238 GEARY BLVD 5SE
SAN FRANCISCO CA
94115-3416
US

IV. Provider business mailing address

100 LUCKY DR #104
CORTE MADERA CA
94925-1120
US

V. Phone/Fax

Practice location:
  • Phone: 415-833-4167
  • Fax:
Mailing address:
  • Phone: 415-927-0436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number321662
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: