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NPI Code Detail

MEDICARE: TRINA RENEE MURPHY

MEDICARE: TRINA RENEE 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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1659787695
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINA RENEE MURPHY
Provider Business Mailing Address
First Line : 3450 W CHEYENNE AVE STE 500
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-8225
Country : US
Telephone Number : 702-631-0230
Fax Number : 702-631-0809
Provider Business Practice Location Address
First Line : 3450 W CHEYENNE AVE STE 500
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-8225
Country : US
Telephone Number : 702-631-0230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2014
Last Update Date : 07/10/2014

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Directions to “ TRINA RENEE MURPHY ” Practice Location

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