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Individual
REBECCA LYNN MARTIN
Active
Individual
REBECCA LYNN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
532713-1
NY
363LF0000X
Family Nurse Practitioner
Primary
ARNP9405008
FL
363LF0000X
Family Nurse Practitioner
F336359-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F336359-1
LICENSE
NY
01
—
NZ135
FL HF MEDICARE
FL
Enumeration date
05/20/2010
Last updated
06/16/2021
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