Healthcare Provider Details
I. General information
NPI: 1831172444
Provider Name (Legal Business Name): LEN N. GETZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/29/2005
Last Update Date: 05/15/2022
Certification Date: 05/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4918 WILLIAM ARNOLD RD
MEMPHIS TN
38117-4238
US
IV. Provider business mailing address
4918 WILLIAM ARNOLD RD
MEMPHIS TN
38117-4238
US
V. Phone/Fax
- Phone: 901-334-5484
- Fax: 901-334-1871
- Phone: 901-334-5484
- Fax: 901-334-1871
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | APN6641 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | APN6641 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: