D. Marie Stoudemire in Chattanooga - General Practice

D. Marie Stoudemire - NPI 1114140290

D. Marie Stoudemire is a General Practice in Chattanooga, Tennessee. D. Marie Stoudemire practices all healthcare services and medical treatments related to General Practice. The NPI Number for D. Marie Stoudemire is 1114140290. The last update date is 2007-07-08.

D. Marie Stoudemire's current location address is 921 E 3rd St, Chattanooga, Tennessee. You can contact this provider via phone number 4232098180 and fax number 2092098191. The mailing address for D. Marie Stoudemire is 921 E 3rd St, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name D. Marie Stoudemire
Address 921 E 3rd St, Chattanooga, Tennessee
Phone Number 4232098180
Fax Number 2092098191
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1114140290
Provider Enumeration Date 2007-04-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 921 E 3rd St
City Chattanooga
State Tennessee (TN)
Post Code 374032102
Phone Number 4232098180
Fax Number 2092098191

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 163Wg0000X
Licence No 77193
Definition:
A registered nurse who provides general nursing care across health settings.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RN77193 TN LICENSE

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FAQs about D. Marie Stoudemire

What is the unique 10-digit identification code issued to D. Marie Stoudemire by the Centers for Medicare & Medicaid Services?

The D. Marie Stoudemire has been assigned the NPI (National Provider Identifier) 1114140290 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the D. Marie Stoudemire located?

The D. Marie Stoudemire is located at 921 E 3Rd St, Chattanooga, TN 374032102.

What is D. Marie Stoudemire's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The D. Marie Stoudemire's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 163Wg0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1114140290 to D. Marie Stoudemire?

The Centers for Medicare & Medicaid Services assigned the 1114140290 to D. Marie Stoudemire on 2007-04-10.

As of what date were the D. Marie Stoudemire's details last updated?

The information pertaining to the D. Marie Stoudemire, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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