Healthcare Provider Details

I. General information

NPI: 1699494344
Provider Name (Legal Business Name): CHERI J MURPHY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 JOHNSON ST
SEBASTOPOL CA
95472-3431
US

IV. Provider business mailing address

120 KERRY LN
CLOVERDALE CA
95425-3124
US

V. Phone/Fax

Practice location:
  • Phone: 707-824-7911
  • Fax:
Mailing address:
  • Phone: 707-535-9463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number775379
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number220136496
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: