MRS. BRANDY VANELL MARTISEK (NPI# 1770192791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770192791 |
| Entity Type | Individual |
| Full Name | MRS. BRANDY VANELL MARTISEK |
| Credential | NP |
| Practice Address |
430 Magnolia Rd Camden AR 71701-4146 |
| Mailing Address |
Po Box 62 Mount Holly AR 71758-0062 |
| Practice Telephone | 5015141768 |
| Mailing Telephone | 5015141768 |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2020-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
125499 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
430 MAGNOLIA RD |
| City | CAMDEN |
| State | AR |
| Zip Code | 71701-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699741298 | Johnathan W Lewis | Family Medicine | 430 Magnolia Rd, Camden, AR 71701-4146 | 2006-02-24 |
| 1265047187 | Johnathan Lewis Md Pllc | Nurse Practitioner | 430 Magnolia Rd, Camden, AR 71701-4146 | 2020-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
| 1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
| 1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
| 1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
| 1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
| 1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
| Find all providers in zip 71701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033691654 | Melinda Branham | Nurse Practitioner | 93 Burbage St, Camden, SC 29020-1596 | 2018-08-30 |
| 1174030001 | Jessica Ann Donaldson | Nurse Practitioner | 9562 State Route #13, Camden, NY 13316-4940 | 2017-12-31 |
| 1205348679 | Michael Joseph Foglio | Nurse Practitioner | 1600 Haddon Ave # Er, Camden, NJ 08103-3101 | 2017-10-25 |
| 1205371770 | Rachel Degtyarev | Nurse Practitioner | 1 Cooper Plz Rm 513, Camden, NJ 08103-1461 | 2016-12-19 |
| 1508309766 | Jessica Millraney | Nurse Practitioner | 30 S Court Sq, Camden, TN 38236 | 2016-11-21 |
| 1619324852 | Heather Larkins | Nurse Practitioner | 284 Highway 641 N, Camden, TN 38320-1350 | 2016-05-18 |
| 1528441706 | Susanne Marie Johnson | Nurse Practitioner | 525 Clinton Street, Camden, NJ 08103 | 2015-07-07 |
| 1588003842 | Andrea Susanne Abbott | Nurse Practitioner | 178 Schools Dr, Camden, TN 38320-3026 | 2013-06-20 |
| 1134467277 | Patricia Golato | Nurse Practitioner | 3 Cooper Plz Rm 116, Camden, NJ 08103 | 2013-01-24 |
| 1134495906 | Jessica Epps Wilkes | Nurse Practitioner | 110 E Dekalb St # C, Camden, SC 29020-4432 | 2012-03-27 |
| Find all providers in CAMDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.