Grotefendt, Madeline Lynne

Grotefendt, Madeline Lynne is an individual health care provider with primary practice located at 6401 Mountain View Road Suite 109, Ooltewah TN 37363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Grotefendt, Madeline Lynne can be contacted via phone (423) 495-5951.

Contact Information

Primary practice address
6401 Mountain View Road Suite 109 Ooltewah TN 37363
Phone: (423) 495-5951
Fax: (423) 495-5999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 74644 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6184 Tennessee

Profile Details

NPI number 1912176280
LBN Legal business name Grotefendt, Madeline Lynne
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2008
Last updated Nov 7th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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