Individual
STEPHANIE M MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4656 40TH AVE S, FARGO, ND 58104-4397
(701) 234-8860
(701) 234-8924
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0779
SD
363AM0700X
Medical Physician Assistant
Primary
PAC0549
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71306
—
ND
05
—
71392
—
ND
Enumeration date
05/11/2011
Last updated
12/26/2014
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