MRS. TERESA ANN MARTISAK RN CDE NPI 1225150741

NPI Information

NPI: 1225150741
Provider Name: MRS. TERESA ANN MARTISAK, RN CDE
Classification: Registered Nurse - 163WD0400X
Entity Type: Individual

Specialization: Diabetes Educator

Address:
1698 E MCANDREWS RD
SUITE 170
MEDFORD, OR
ZIP 97504
Phone: (541) 732-6957
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MRS. Teresa Ann Martisak, RN CDE is a diabetes educator registered nurse in Medford, OR. MRS. Teresa Ann Martisak, RN CDE NPI is 1225150741. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1698 E MCANDREWS RD
SUITE 170
MEDFORD, OR
ZIP 97504-589
Phone: (541) 732-6957
Fax: (541) 732-7901

The enumeration date for this NPI number is 4/4/2007 and was last updated on 12/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WD0400X	Registered Nurse	Diabetes Educator	086006602	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	086006602RN	OTHER	OREGON	RN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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