Basic Information
Provider Information
NPI: 1093382046
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: ALLISON
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: DNP, CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 249 EAST AVE APT A
Address2:  
City: NORWALK
State: CT
PostalCode: 068551924
CountryCode: US
TelephoneNumber: 2033001084
FaxNumber:  
Practice Location
Address1: 34 MAPLE ST
Address2:  
City: NORWALK
State: CT
PostalCode: 068503815
CountryCode: US
TelephoneNumber: 2038522000
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/08/2021
LastUpdateDate: 07/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X9769CTY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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