Healthcare Provider Details

I. General information

NPI: 1386022895
Provider Name (Legal Business Name): EMILY MURTHY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY BOYD

II. Dates (important events)

Enumeration Date: 05/16/2015
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 E SUMNER ST
HARTFORD WI
53027-1608
US

IV. Provider business mailing address

3301 W FOREST HOME AVE
MILWAUKEE WI
53215-2843
US

V. Phone/Fax

Practice location:
  • Phone: 262-673-2300
  • Fax:
Mailing address:
  • Phone: 626-732-3002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number367500000X
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: