Provider Demographics
NPI:1982795449
Name:MURPHY, LU ANNE (ANP)
Entity type:Individual
Prefix:MS
First Name:LU
Middle Name:ANNE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-4724
Mailing Address - Country:US
Mailing Address - Phone:910-506-4679
Mailing Address - Fax:910-506-4699
Practice Address - Street 1:138 BRUCEWOOD RD
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-5143
Practice Address - Country:US
Practice Address - Phone:910-405-1161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC900344363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP1616Medicaid
NC7000714Medicaid
SCNP1616Medicaid
NC2806594EMedicare PIN