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NPI Code Detail

MEDICARE: ELIZABETH ANNE MARTIN FNP-BC

MEDICARE: ELIZABETH ANNE MARTIN FNP-BC
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
1363LF0000XFamily Nurse Practitioner14093TN

General Provider Information

NPI Number : 1235363458
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANNE MARTIN FNP-BC
Provider Business Mailing Address
First Line : 426 21ST AVE S
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2424
Country : US
Telephone Number : 615-321-2590
Fax Number :
Provider Business Practice Location Address
First Line : 426 21ST AVE S
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2424
Country : US
Telephone Number : 615-321-2590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2009
Last Update Date : 01/27/2023

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