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NPI Code Detail

MEDICARE: AREND FOLKENS RN

MEDICARE: AREND FOLKENS 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
1163WC0200XCritical Care Medicine Registered Nurse240817TN
2367500000XCertified Registered Nurse Anesthetist30301TN

General Provider Information

NPI Number : 1558936005
Entity Type Code : Individual
Provider Name (Legal Business Name) : AREND FOLKENS RN
Provider Business Mailing Address
First Line : 7976 VERVENA DR
Second Line :
City : OOLTEWAH
State : TN
Zip : 37363
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 975 E 3RD ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37403-2163
Country : US
Telephone Number : 423-778-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2021
Last Update Date : 10/06/2021

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