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Individual
MARTI ALEX BIGGERSTAFF
Active
Individual
MARTI ALEX BIGGERSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
208539
TN
363LF0000X
Family Nurse Practitioner
Primary
24636
TN
363LF0000X
Family Nurse Practitioner
3013131
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208539
STATE LICENSE
TN
01
—
24636
STATE LICENSE
TN
01
—
3013131
STATE LICENSE
KY
05
—
7100582070
—
KY
05
—
Q048131
—
TN
Enumeration date
11/20/2018
Last updated
07/16/2024
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