Wallis H Martz in Chattanooga - Nurse Practitioner
Wallis H Martz - NPI 1154320422
Wallis H Martz is a Nurse Practitioner in Chattanooga, Tennessee. Wallis H Martz practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Wallis H Martz is 1154320422. The last update date is 2011-08-17.
Wallis H Martz's current location address is 2339 Mccallie Ave, Chattanooga, Tennessee. You can contact this provider via phone number 4236980850 and fax number 4236980511. The mailing address for Wallis H Martz is 2339 Mccallie Ave, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallis H Martz |
|---|---|
| Address | 2339 Mccallie Ave, Chattanooga, Tennessee |
| Phone Number | 4236980850 |
| Fax Number | 4236980511 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1154320422 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2011-08-17 |
Provider Mailing Address Detail
| Address | 2339 Mccallie Ave |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374043256 |
| Phone Number | 4236980850 |
| Fax Number | 4236980511 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 50413 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00435620 | TN | RAILROAD MEDICARE | |
| 4156507 | TN | TENNESSEE BCBS | |
| 33491821 | TN | -- |
Post Comment/ Review Below
What is the Wallis H Martz's 1154320422?
The Wallis H Martz's NPI (National Provider Identifier) Number is 1154320422. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Wallis H Martz is physically located?
The Wallis H Martz is physically situated at the following address: 2339 Mccallie Ave, Chattanooga, TN, 374043256.
What is Wallis H Martz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wallis H Martz's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
When did Wallis H Martz receive its 1154320422 assignment?
The Wallis H Martz was assigned its 1154320422 on 2005-07-19, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Wallis H Martz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Wallis H Martz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-08-17.