Provider Demographics
NPI:1295973014
Name:COGBURN, MARTA MURPHY (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MARTA
Middle Name:MURPHY
Last Name:COGBURN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434 FOURTH ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:NEWPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37821-3735
Mailing Address - Country:US
Mailing Address - Phone:423-623-0640
Mailing Address - Fax:423-623-7615
Practice Address - Street 1:434 4TH ST
Practice Address - Street 2:SUITE 310
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-3746
Practice Address - Country:US
Practice Address - Phone:423-623-0640
Practice Address - Fax:423-623-7615
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000005350363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily