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NPI Code Detail

MEDICARE: MARTHA A. LENNON RN

MEDICARE:   MARTHA A. LENNON  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse139769TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1139769OTHERTNRN

General Provider Information

NPI Number : 1962625343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA A. LENNON RN
Provider Business Mailing Address
First Line : 2500 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4129
Country : US
Telephone Number : 615-340-7781
Fax Number : 615-340-7792
Provider Business Practice Location Address
First Line : 2500 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4129
Country : US
Telephone Number : 615-340-7781
Fax Number : 615-340-7792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 08/02/2016

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