MRS. BRANDY VANELL MARTISEK NP NPI 1770192791

NPI Information

NPI: 1770192791
Provider Name: MRS. BRANDY VANELL MARTISEK, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2270 HIGHWAY 79 S
MAGNOLIA, AR
ZIP 71753
Phone: (870) 235-6001
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MRS. Brandy Vanell Martisek, NP is a family nurse practitioner in Magnolia, AR. MRS. Brandy Vanell Martisek, NP NPI is 1770192791. 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:

2270 HIGHWAY 79 S
MAGNOLIA, AR
ZIP 71753-129
Phone: (870) 235-6001

The NPI 1770192791 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2020 and was last updated on 6/15/2023.

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	363LF0000X	Nurse Practitioner	Family	125499	ARKANSAS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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