Individual
MARTHA R. MARZETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ACNP
Contact information
Practice address
960 JOHNSON FERRY RD, SUITE 500, ATLANTA, GA 30342-1631
(404) 257-0006
(404) 851-1316
Mailing address
960 JOHNSON FERRY RD, SUITE 500, ATLANTA, GA 30342-1631
(404) 257-0006
(404) 851-1316
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
695301
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165354501
—
TX
01
—
8N7035
BCBS
TX
Enumeration date
10/19/2006
Last updated
10/16/2020
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