Healthcare Provider Details

I. General information

NPI: 1407874530
Provider Name (Legal Business Name): PATRICIA JO MURPHY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 12/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6505 218TH ST SW STE 9
MOUNTLAKE TERRACE WA
98043-2135
US

IV. Provider business mailing address

19423 74TH AVE W
LYNNWOOD WA
98036-5065
US

V. Phone/Fax

Practice location:
  • Phone: 206-491-2259
  • Fax: 206-365-0872
Mailing address:
  • Phone: 425-775-9318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberRN00071430
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: