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Individual
STEFANIE NICOLE MARTLINK
Active
Individual
STEFANIE NICOLE MARTLINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209008199
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IL5966
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
IL5966007
MEDICARE PTAN (GROUP)
IL
01
—
IL7268004
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
01/24/2011
Last updated
04/10/2013
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