Provider Demographics
NPI:1447853973
Name:MURPHY, ELAINE (RN)
Entity type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 BURKE BLVD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2399
Mailing Address - Country:US
Mailing Address - Phone:531-299-2581
Mailing Address - Fax:531-299-2618
Practice Address - Street 1:12200 BURKE BLVD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2399
Practice Address - Country:US
Practice Address - Phone:531-299-2581
Practice Address - Fax:531-299-2618
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE38740163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool