Healthcare Provider Details

I. General information

NPI: 1689195570
Provider Name (Legal Business Name): MICHELLE K MURPHY-CRUZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE K MURPHY ARNP

II. Dates (important events)

Enumeration Date: 06/29/2017
Last Update Date: 05/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 EASTLAKE AVE E
SEATTLE WA
98109-4405
US

IV. Provider business mailing address

825 EASTLAKE AVE E
SEATTLE WA
98109-4405
US

V. Phone/Fax

Practice location:
  • Phone: 206-288-7222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAP60796628
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60733752
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: