Martha G Berry is a Family in Little Rock, Arkansas. Martha G Berry practices all healthcare services and medical treatments related to Family. The NPI Number for Martha G Berry is 1073569828. The last update date is 2022-10-18.
Martha G Berry's current location address is 11001 Executive Center Dr, Little Rock, Arkansas. You can contact this provider via phone number 5017582298 and fax number 5017587877. The mailing address for Martha G Berry is 11001 Executive Center Dr, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha G Berry |
|---|---|
| Address | 11001 Executive Center Dr, Little Rock, Arkansas |
| Phone Number | 5017582298 |
| Fax Number | 5017587877 |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1073569828 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2022-10-18 |
Provider Mailing Address Detail
| Address | 11001 Executive Center Dr |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722114316 |
| Phone Number | 5017582298 |
| Fax Number | 5017587877 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | A01874 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 492829ZNUD | AR | MEDICARE | |
| 189490758 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Martha G Berry by the Centers for Medicare & Medicaid Services?
The Martha G Berry has been assigned the NPI (National Provider Identifier) 1073569828 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Martha G Berry is located?
The Martha G Berry is situated at the following address: 11001 Executive Center Dr, Little Rock, AR, 722114316.
What is Martha G Berry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Martha G Berry's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073569828 to Martha G Berry?
The Martha G Berry received its 1073569828 assignment from the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date were the Martha G Berry's details last updated?
The information pertaining to the Martha G Berry, including its address, specialty, and other details, was most recently updated on 2022-10-18.
NPI Number: 1215930425
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