MEDICARE: JOHANNA MURPHY

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	RN2310771	MA

General Provider Information

NPI Number	:	1316702426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHANNA MURPHY

Provider Business Mailing Address
First Line	:	80 SUTHERLAND RD
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02135-7123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	725 CONCORD AVE
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02138-1040
Country	:	US
Telephone Number	:	617-661-4600
Fax Number	:

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

Provider Enumeration Date	:	02/19/2024
Last Update Date	:	12/11/2025

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Directions to “ JOHANNA MURPHY ” Practice Location

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