National Provider Identifier Database

TERESA A MARTISAK, RN CDE – NPI #1225150741
Diabetes Educator


Contact Information

TERESA A MARTISAK, RN CDE
1698 E MCANDREWS RD
SUITE 170
MEDFORD, OR97504-5589
Phone: 541-732-6957
Fax: 541-732-7901
Website:
Specialty Taxonomy Code
* Diabetes Educator 163WD0400X

* Indicates primary specialty

NPI Profile & details for TERESA A MARTISAK

NPI Number 1225150741
Credentials RN CDE
Entity Individual
Enumeration date 04/04/2007
Last updated 12/04/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • OR License #: 086006602
  • OR Other: 086006602RN RN LICENSE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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