Provider Demographics
NPI:1558132282
Name:MARTINEZ, COURTNEY MAY (NCMA)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:MAY
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:NCMA
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:LOUSBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1923 SULPHUR SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-5654
Mailing Address - Country:US
Mailing Address - Phone:423-317-9344
Mailing Address - Fax:423-714-2355
Practice Address - Street 1:1107 N CHARLES G SEIVERS BLVD STE 101
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716-3944
Practice Address - Country:US
Practice Address - Phone:865-934-6150
Practice Address - Fax:865-342-0150
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide