# MARTHA HEMINGWAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1508828419
- **Gender:** F
- **Credential:** NNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 530171 | TX | — |
| 363LN0000X | Neonatal Nurse Practitioner | AP103400 | TX | Yes |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 12/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0292864-02 | — | TX |
| 01 | — | 500008104 | RR/MEDICARE | TX |
| 01 | — | 82N618 | BLUE SHIELD | TX |