| Murphy T Allen Llc | |
|
2835 Watervale Dr Sparks NV 89436-7657 | |
| (775) 815-9376 | |
| Not Available |
| Full Name | Murphy T Allen Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2835 Watervale Dr, Sparks, Nevada |
| Authorized Official Name and Position | Murphy Taylor Allen (OWNER) |
| Authorized Official Contact | 7758159376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Murphy T Allen Llc 2835 Watervale Dr Sparks NV 89436-7657 Ph: (775) 815-9376 | Murphy T Allen Llc 2835 Watervale Dr Sparks NV 89436-7657 Ph: (775) 815-9376 |
| NPI Number | 1184381154 |
|---|---|
| Provider Enumeration Date | 11/24/2021 |
| Last Update Date | 11/24/2021 |
| Medicare PECOS PAC ID | 8022400241 |
|---|---|
| Medicare Enrollment ID | O20220120002783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184381154 | NPI | - | NPPES |
| 1770544983 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Murphy Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770544983 PECOS PAC ID: 4880729599 Enrollment ID: I20100319000726 |
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