Healthcare Provider Details
I. General information
NPI: 1669596870
Provider Name (Legal Business Name): LORANN B MURPHY CNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/16/2007
Last Update Date: 01/25/2021
Certification Date: 01/07/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25700 SCIENCE PARK DR STE 210
BEACHWOOD OH
44122-7328
US
IV. Provider business mailing address
25700 SCIENCE PARK DR STE 210
BEACHWOOD OH
44122-7328
US
V. Phone/Fax
- Phone: 216-450-1613
- Fax: 216-450-1614
- Phone: 216-450-1613
- Fax: 216-450-1614
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364S00000X |
| Taxonomy | Clinical Nurse Specialist |
| License Number | RN203671 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364S00000X |
| Taxonomy | Clinical Nurse Specialist |
| License Number | APRN.CNS.03917 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SP0809X |
| Taxonomy | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | APRN.CNS.03917 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: