Healthcare Provider Details

I. General information

NPI: 1639002918
Provider Name (Legal Business Name): OLIVIA MARIE MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17185 VALLEY VIEW RD
EDEN PRAIRIE MN
55346-4252
US

IV. Provider business mailing address

8100 SCHOOL RD
EDEN PRAIRIE MN
55344-2233
US

V. Phone/Fax

Practice location:
  • Phone: 952-975-8056
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27496
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: