Healthcare Provider Details

I. General information

NPI: 1508418021
Provider Name (Legal Business Name): ERIN THERESE MURPHY-DAVIS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 12/11/2020
Certification Date: 12/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 MILL ST
BELMONT MA
02478-1064
US

IV. Provider business mailing address

501 BOSTON POST RD
SUDBURY MA
01776-3335
US

V. Phone/Fax

Practice location:
  • Phone: 617-855-2351
  • Fax:
Mailing address:
  • Phone: 978-443-7141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2272313
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2272313
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2272313
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: