MEDICARE: RACHAEL MURPHY APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11030510	FL

General Provider Information

NPI Number	:	1093585283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL MURPHY APRN

Provider Business Mailing Address
First Line	:	2832 TIMBER KNOLL DR
Second Line	:
City	:	VALRICO
State	:	FL
Zip	:	33596-5664
Country	:	US
Telephone Number	:	352-522-1959
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 E BRANDON BLVD STE 101
Second Line	:
City	:	BRANDON
State	:	FL
Zip	:	33511-5560
Country	:	US
Telephone Number	:	813-579-3369
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	01/08/2024

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Directions to “ RACHAEL MURPHY APRN” Practice Location

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