Martha L Ketteridge in Huntington - Nurse Practitioner

Martha L Ketteridge - NPI 1952488454

Martha L Ketteridge is a Nurse Practitioner in Huntington, New York. Martha L Ketteridge practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Martha L Ketteridge is 1952488454. The last update date is 2019-03-08.

Martha L Ketteridge's current location address is 210 E Main St, Huntington, New York. You can contact this provider via phone number 6318641795 and fax number 6318641795. The mailing address for Martha L Ketteridge is 210 E Main St, Huntington, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Martha L Ketteridge
Address 210 E Main St, Huntington, New York
Phone Number 6318641795
Fax Number 6318641795
Sole Proprietor Y
Credentials N.P

NPI Number Detail

NPI Number 1952488454
Provider Enumeration Date 2006-11-01
Last Updated Date 2019-03-08

Provider Mailing Address Detail

Address 210 E Main St
City Huntington
State New York (NY)
Post Code 117432979
Phone Number 6318641795
Fax Number 6318641795

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No F400635
Definition:
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi

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FAQs about Martha L Ketteridge

What is the unique 10-digit identifier code issued to Martha L Ketteridge by the Centers for Medicare & Medicaid Services?

The Martha L Ketteridge has been assigned the NPI (National Provider Identifier) 1952488454 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Martha L Ketteridge?

The Martha L Ketteridge is situated at 210 E Main St, in the city of Huntington, state of NY, with the zip code 117432979.

What is the Martha L Ketteridge's specialty and taxonomy code?

The Martha L Ketteridge's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.

When did Martha L Ketteridge receive its 1952488454 assignment?

The Martha L Ketteridge was assigned its 1952488454 on 2006-11-01, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Martha L Ketteridge last refreshed?

The information related to the Martha L Ketteridge, including its address, specialty, and other relevant details, was last updated on 2019-03-08.

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