Individual provider · NPI-1
Martha Nicole Menefee, AG-CNS
Clinical Nurse Specialist, Gerontology · Round Rock, TX
NPI number1336524461
StatusActive
Last updated in NPPESApr 14, 2021
Details
- NPI
- 1336524461
- Entity type
- Individual (NPI-1)
- Name
- Martha Nicole Menefee
- Credential
- AG-CNS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 30, 2015
- Certification date
- Apr 14, 2021
- Last updated
- Apr 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SG0600X | Clinical Nurse Specialist, Gerontology | AP128665 | TX | Yes |
| 364S00000X | Clinical Nurse Specialist | AP128665 | TX | |
| 364SA2200X | Clinical Nurse Specialist, Adult Health | AP128665 | TX | |
| 364SC2300X | Clinical Nurse Specialist, Chronic Care | AP128665 | TX |
Practice location
2000 S Mays StRound Rock, TX 78664-7531
Phone 512-244-4272
Mailing address
2000 S Mays St Ste 238Round Rock, TX 78664-7580
Phone 512-244-4272
Other practice locations
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