Individual
THERESA ANNE MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
667 EASTLAND AVE SE, WARREN, OH 44484-4503
(330) 841-4177
(330) 841-4598
Mailing address
667 EASTLAND AVE SE, WARREN, OH 44484-4503
(330) 841-4177
(330) 841-4598
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.023001
OH
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
APRN.CNP.023001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095942
—
OH
01
—
H245680
MEDICARE PTAN
OH
Enumeration date
12/30/2013
Last updated
10/11/2024
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