Healthcare Provider Details

I. General information

NPI: 1053997759
Provider Name (Legal Business Name): MICHELLE MURPHY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11990 GRANT ST STE 302
NORTHGLENN CO
80233-1194
US

IV. Provider business mailing address

11990 GRANT ST STE 302
NORTHGLENN CO
80233-1194
US

V. Phone/Fax

Practice location:
  • Phone: 303-452-2766
  • Fax:
Mailing address:
  • Phone: 303-452-2766
  • Fax: 303-252-8694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS21048
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0076530
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: