Individual
MS. DEANNA H MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5437
(615) 936-2000
Mailing address
719 THOMPSON LN, NASHVILLE, TN 37204-3609
(615) 936-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3585
TN
363AM0700X
Medical Physician Assistant
2249
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019245
KAISER COMMERCIAL NUMBER
CO
05
—
70774048
—
CO
Enumeration date
07/26/2006
Last updated
10/15/2020
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