MEDICARE: ANNA 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	174H00000X	Health Educator

General Provider Information

NPI Number	:	1760804025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA MURPHY

Provider Business Mailing Address
First Line	:	8600 W CHARLESTON BLVD APT 1010
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5408
Country	:	US
Telephone Number	:	505-577-1385
Fax Number	:

Provider Business Practice Location Address
First Line	:	8600 W CHARLESTON BLVD APT 1010
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5408
Country	:	US
Telephone Number	:	505-577-1385
Fax Number	:

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

Provider Enumeration Date	:	01/06/2014
Last Update Date	:	01/06/2014

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Directions to “ ANNA MURPHY ” Practice Location

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