Madeline Lynne Grotefendt in Ooltewah - Family
Madeline Lynne Grotefendt - NPI 1912176280
Madeline Lynne Grotefendt is a Family in Ooltewah, Tennessee. Madeline Lynne Grotefendt practices all healthcare services and medical treatments related to Family. The NPI Number for Madeline Lynne Grotefendt is 1912176280. The last update date is 2016-11-07.
Madeline Lynne Grotefendt's current location address is 6401 Mountain View Road, Ooltewah, Tennessee. You can contact this provider via phone number 4234955951 and fax number 4234955999. The mailing address for Madeline Lynne Grotefendt is 6401 Mountain View Road, Ooltewah, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Madeline Lynne Grotefendt |
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Address | 6401 Mountain View Road, Ooltewah, Tennessee |
Phone Number | 4234955951 |
Fax Number | 4234955999 |
Sole Proprietor | N |
Credentials | NURSE PRAC |
NPI Number Detail
NPI Number | 1912176280 |
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Provider Enumeration Date | 2008-02-21 |
Last Updated Date | 2016-11-07 |
Provider Mailing Address Detail
Address | 6401 Mountain View Road |
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City | Ooltewah |
State | Tennessee (TN) |
Post Code | 37363 |
Phone Number | 4234955951 |
Fax Number | 4234955999 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 74644 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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What is the Madeline Lynne Grotefendt's 1912176280?
The Madeline Lynne Grotefendt's NPI (National Provider Identifier) Number is 1912176280. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Madeline Lynne Grotefendt's facilities are situated?
The facilities of Madeline Lynne Grotefendt are physically located at the following address: 6401 Mountain View Road, Ooltewah, TN, 37363.
What is Madeline Lynne Grotefendt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Madeline Lynne Grotefendt is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912176280 to Madeline Lynne Grotefendt?
The Centers for Medicare & Medicaid Services originally issued the 1912176280 to Madeline Lynne Grotefendt on 2008-02-21.
When was the Madeline Lynne Grotefendt's information last updated?
The Madeline Lynne Grotefendt's information was last updated on 2016-11-07.