MEDICARE: TRICIA BERNICE MURPHY M.D.

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	207R00000X	Internal Medicine Physician	13551	PR
2	207R00000X	Internal Medicine Physician	0000	NV
3	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	13551	PR
4	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	ME118894	FL
5	208M00000X	Hospitalist Physician	13551	PR
6	207R00000X	Internal Medicine Physician	16417	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	9710004	OTHER	PR	HUMANA
3	13516226	OTHER	FL	CAQH
4	16417	OTHER	NV	STATE LICENSE
5	212848	OTHER	PR	PREFERRED HEALTH
6	21674PE	OTHER	PR	SSS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	14XIV	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1215996764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRICIA BERNICE MURPHY M.D.

Provider Business Mailing Address
First Line	:	6355 S BUFFALO DR FL 3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2133
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:	702-671-6883

Provider Business Practice Location Address
First Line	:	821 N NELLIS BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89110-5339
Country	:	US
Telephone Number	:	702-438-4003
Fax Number	:	702-438-0555

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

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	10/19/2022

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Directions to “ TRICIA BERNICE MURPHY M.D.” Practice Location

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