Healthcare Provider Details

I. General information

NPI: 1760023741
Provider Name (Legal Business Name): LAUREN M MURPHY PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN M QUICK

II. Dates (important events)

Enumeration Date: 10/01/2019
Last Update Date: 10/13/2020
Certification Date: 10/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 N 12TH ST
GRAND JUNCTION CO
81506-2863
US

IV. Provider business mailing address

3085 BLUE QUAIL CT
GRAND JUNCTION CO
81504-4238
US

V. Phone/Fax

Practice location:
  • Phone: 970-243-5437
  • Fax: 970-243-7792
Mailing address:
  • Phone: 970-319-9043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPN.0995054-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: