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Individual

CHRISTINE M MARTINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN109946
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN11701
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009610191A
GA
05
009933494
AL
05
3635564
TN
01
4115507
BLUE CROSS BLUE SHIELD
TN
01
N358415
WELLCARE (GA MEDICAID)
GA
01
P00440547
RAILROAD MEDICARE
TN
Enumeration date
12/11/2006
Last updated
09/19/2013
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