Healthcare Provider Details

I. General information

NPI: 1154122299
Provider Name (Legal Business Name): COLIN THOMAS MURPHY RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

513 BROADWAY
NEWPORT RI
02840-1471
US

IV. Provider business mailing address

513 BROADWAY
NEWPORT RI
02840-1471
US

V. Phone/Fax

Practice location:
  • Phone: 401-324-9100
  • Fax:
Mailing address:
  • Phone: 401-324-9100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: