Healthcare Provider Details

I. General information

NPI: 1194809889
Provider Name (Legal Business Name): PATRICIA KATHLEEN MURPHY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 12/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 OKEECHOBEE BLVD
WEST PALM BEACH FL
33411-2003
US

IV. Provider business mailing address

4623 FOREST HILL BLVD SUITE 101
WEST PALM BEACH FL
33415-7469
US

V. Phone/Fax

Practice location:
  • Phone: 561-964-1111
  • Fax: 561-967-3144
Mailing address:
  • Phone: 561-967-8888
  • Fax: 561-641-8303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2205072
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: