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Individual
LINDA LEE MARTIN
Active
Individual
LINDA LEE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED FNP, DNP
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
254064
TX
363L00000X
Nurse Practitioner
Primary
254064
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142478005
—
TX
Enumeration date
07/17/2006
Last updated
09/23/2009
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