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Individual
MRS. HEATHER MICHELLE MARTIN
Active
Individual
MRS. HEATHER MICHELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22687
SC
363LF0000X
Family Nurse Practitioner
33687
SC
363LP2300X
Primary Care Nurse Practitioner
22687
SC
Other
Enumeration date
04/24/2019
Last updated
03/20/2026
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