# SUSAN A. MARTIN NP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134887102
- **Authorized official:** MRS. SUSAN ANITA MARTIN NP-C (HEALTHCARE PROVIDER/OWNER)
- **Authorized official phone:** (812) 290-1611

## Contact information

- **Practice address:** PINE KNOLL ASSISTED LIVING, 607 WILSON CREEK RD., LAWRENCEBURG, IN 47025
- **Practice address phone:** (812) 537-4422
- **Practice address fax:** (812) 537-3463
- **Mailing address:** 7655 STATE ROAD 48, AURORA, IN 47001-8987
- **Mailing address phone:** (812) 290-1611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2021
- **Last updated:** 12/07/2021