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Individual
MARTHA SIPE
Active
Individual
MARTHA SIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP018801
PA
363LF0000X
Family Nurse Practitioner
RN252571
GA
363LF0000X
Family Nurse Practitioner
SP018801
PA
Other
Enumeration date
11/16/2015
Last updated
05/13/2022
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