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Individual
MARTHA HEMINGWAY
Active
Individual
MARTHA HEMINGWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
530171
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP103400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0292864-02
—
TX
01
—
500008104
RR/MEDICARE
TX
01
—
82N618
BLUE SHIELD
TX
Enumeration date
04/05/2006
Last updated
12/10/2021
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