Basic Information
Provider Information
NPI: 1467904664
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY-THOMAS
FirstName: LENISE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 HOT METAL ST FL
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152032348
CountryCode: US
TelephoneNumber: 4124325869
FaxNumber: 4126474486
Practice Location
Address1: 90 SHENANGO ST
Address2:  
City: GREENVILLE
State: PA
PostalCode: 161252060
CountryCode: US
TelephoneNumber: 7245884240
FaxNumber: 7245887062
Other Information
ProviderEnumerationDate: 11/04/2016
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAPRN.CNP.020135OHN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XSP016556PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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