Healthcare Provider Details

I. General information

NPI: 1447160346
Provider Name (Legal Business Name): MELINDA MURPHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3036 WHISPERING SPRINGS RD
CASPER WY
82604-6400
US

IV. Provider business mailing address

3036 WHISPERING SPRINGS RD
CASPER WY
82604-6400
US

V. Phone/Fax

Practice location:
  • Phone: 307-267-3961
  • Fax:
Mailing address:
  • Phone: 307-267-3961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number127350700
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: