Martha Marie Gentry in Calumet City - Licensed Practical Nurse
Martha Marie Gentry - NPI 1679626188
Martha Marie Gentry is a Licensed Practical Nurse in Calumet City, Illinois. Martha Marie Gentry practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Martha Marie Gentry is 1679626188. The last update date is 2007-07-08.
Martha Marie Gentry's current location address is 790 Campbell Ave, Calumet City, Illinois. You can contact this provider via phone number 7088911651. The mailing address for Martha Marie Gentry is 790 Campbell Ave, Calumet City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha Marie Gentry |
|---|---|
| Address | 790 Campbell Ave, Calumet City, Illinois |
| Phone Number | 7088911651 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1679626188 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 790 Campbell Ave |
|---|---|
| City | Calumet City |
| State | Illinois (IL) |
| Post Code | 604094306 |
| Phone Number | 7088911651 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique identifier code issued to Martha Marie Gentry by the Centers for Medicare & Medicaid Services (CMS)?
The Martha Marie Gentry has been assigned the NPI (National Provider Identifier) 1679626188. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Martha Marie Gentry?
The Martha Marie Gentry is physically situated at 790 Campbell Ave, in the city of Calumet City, state of IL, with the postal code 604094306.
What is Martha Marie Gentry's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Martha Marie Gentry is Licensed Practical Nurse, and the corresponding taxonomy classification code for this specialized field is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679626188 to Martha Marie Gentry?
The Centers for Medicare & Medicaid Services originally issued the 1679626188 to Martha Marie Gentry on 2007-01-19.
When was the Martha Marie Gentry's information last updated?
The Martha Marie Gentry's information was last updated on 2007-07-08.
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