=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346804481
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAREN WYNNE MURPHY HILLIS DNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/24/2019
-----------------------------------------------------
Last Update Date | 02/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6349 US HIGHWAY 550
-----------------------------------------------------
City | CUBA
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87013-6032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-289-3291
-----------------------------------------------------
Fax | 505-443-8303
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6349 US HIGHWAY 550
-----------------------------------------------------
City | CUBA
-----------------------------------------------------
State | NM
-----------------------------------------------------
Zip | 87013-6032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 575-289-3291
-----------------------------------------------------
Fax | 505-443-8303
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 55540
-----------------------------------------------------
License Number State | NM
-----------------------------------------------------