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Individual

MARTHA M ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC, FNP

Contact information

Practice address
210 E ECONOMY RD, MORRISTOWN, TN 37814-3756
(423) 307-1468
(423) 307-1479
Mailing address
210 E ECONOMY RD, MORRISTOWN, TN 37814-3756
(423) 307-1468
(423) 307-1468

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN75728
TN
363L00000X
Nurse Practitioner
Primary
APN6230
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100010265
PHP TENNCARE
TN
01
3037610
BLUECARE-PARROTTSVILLE
TN
01
3060056
BCBST
TN
01
3060057
BCBST
TN
01
3060060
BCBST
TN
05
3904918
TN
Enumeration date
01/27/2006
Last updated
12/01/2015
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