Provider Demographics
NPI:1053404566
Name:MARTSCHINK, JEANIE LINDA (CRNA)
Entity type:Individual
Prefix:MRS
First Name:JEANIE
Middle Name:LINDA
Last Name:MARTSCHINK
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:185 COTTONWOOD LANE
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-7915
Mailing Address - Country:US
Mailing Address - Phone:336-634-1905
Mailing Address - Fax:336-998-2889
Practice Address - Street 1:3812 NORTH ELM STREET
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-2596
Practice Address - Country:US
Practice Address - Phone:336-294-1833
Practice Address - Fax:336-998-2889
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC078299367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0264UOtherBCBS
NC8050869Medicaid
NC2519635OtherUNITED HEALTHCARE
NC16186OtherPARTNERS INSURANCE
NC8050869Medicaid