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Individual
ALYSE C MARTIN
Active
Individual
ALYSE C MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3008308
KY
363LF0000X
Family Nurse Practitioner
3008308
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100261240
—
KY
Enumeration date
09/17/2013
Last updated
12/09/2020
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