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NPI Code Detail

MEDICARE: DEREK WILLIAM ARMITAGE RN

MEDICARE: DEREK WILLIAM ARMITAGE 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
1163WP0807XChild & Adolescent Psychiatric/Mental Health Registered Nurse186537TN

General Provider Information

NPI Number : 1346861986
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEREK WILLIAM ARMITAGE RN
Provider Business Mailing Address
First Line : 107 DAVIS LN
Second Line :
City : MC DONALD
State : TN
Zip : 37353-5119
Country : US
Telephone Number : 423-762-9161
Fax Number :
Provider Business Practice Location Address
First Line : 2200 MORRIS HILL RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-2818
Country : US
Telephone Number : 423-499-2328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2020
Last Update Date : 05/06/2020

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