| NPI | 1811547201 |
|---|---|
| Former Name | MARTHA KATHERINE SCROGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 26695) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-159517) |
| 163W00000X Registered Nurse (Licence: TN 241318) | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2020-02-04 |