Healthcare Provider Details

I. General information

NPI: 1346804481
Provider Name (Legal Business Name): KAREN WYNNE MURPHY HILLIS DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6349 US HIGHWAY 550
CUBA NM
87013-6032
US

IV. Provider business mailing address

6349 US HIGHWAY 550
CUBA NM
87013-6032
US

V. Phone/Fax

Practice location:
  • Phone: 575-289-3291
  • Fax: 505-443-8303
Mailing address:
  • Phone: 575-289-3291
  • Fax: 505-443-8303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number55540
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: