# REBECCA DIANE MARTIN

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

## Provider details

- **NPI number:** 1952689234
- **Gender:** F
- **Credential:** D.N.P,

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 763825 | TX | Yes |

## Other

- **Enumeration date:** 08/03/2011
- **Last updated:** 05/17/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 763825 | NURSING LICENSE | TX |