Healthcare Provider Details

I. General information

NPI: 1215853478
Provider Name (Legal Business Name): ANASTASIA MURPHY ESPIAU FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 RIDGE POINT DR
MONTICELLO GA
31064-8553
US

IV. Provider business mailing address

211 RIDGE POINT DR
MONTICELLO GA
31064-8553
US

V. Phone/Fax

Practice location:
  • Phone: 678-699-6392
  • Fax: 678-699-6392
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP277869
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: