Individual
LISA MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00253
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06-14-2007
NHPRI
RI
01
—
11072007
BCBSRI
RI
01
—
1962455022
UEMF GROUP NPI
RI
05
—
377261
—
MA
05
—
7009074
—
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
07/28/2006
Last updated
04/23/2015
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