Healthcare Provider Details

I. General information

NPI: 1750590956
Provider Name (Legal Business Name): MS. MONET MARIE MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18463 LIVERNOIS AVE
DETROIT MI
48221-2254
US

IV. Provider business mailing address

11060 GROVER ST
ROMULUS MI
48174-1450
US

V. Phone/Fax

Practice location:
  • Phone: 248-336-4000
  • Fax: 248-336-9137
Mailing address:
  • Phone: 989-372-5547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704273504
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: