MEDICARE: CAITLYNN MURPHY APRN, FNP-C

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	2023012430	MO
2	363L00000X	Nurse Practitioner	2023012430	MO

General Provider Information

NPI Number	:	1942904156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLYNN MURPHY APRN, FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 959354
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-9354
Country	:	US
Telephone Number	:	314-996-3434
Fax Number	:	314-996-3435

Provider Business Practice Location Address
First Line	:	969 N MASON RD STE 110
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-6338
Country	:	US
Telephone Number	:	314-996-3434
Fax Number	:	314-996-3435

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

Provider Enumeration Date	:	03/30/2023
Last Update Date	:	06/01/2026

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