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Individual
MRS. MARY K MURPHY
Active
Individual
MRS. MARY K MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN BC-FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
35192
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710221
MTN STATE BC/BS PAY TO 1
WV
01
—
001768018
MTN STATE BC/BS SERVICE
WV
01
—
001967354
MTN STATE BC/BS PAY TO 2
WV
01
—
00349930
ANA WV NURSES ASSOC
WV
01
—
02639382
ANCC
WV
01
—
1047478
BRICKSTREET WORKERS COMP
WV
01
—
35192
WV APRN, BC LICENSE
WV
05
—
3810005339
—
WV
01
—
500014647
RAILROAD MEDICARE
WV
01
—
734583
NCPPO
WV
01
—
FQ35192
HEALTH PLAN PROVIDER
WV
01
—
RXA1276
WV PRESCRIPTIVE PRIVILEGE
WV
Enumeration date
02/21/2006
Last updated
03/07/2023
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