Individual
CAROLINE RUTH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
610 E SOUTHPORT RD, SUITE 200, INDIANAPOLIS, IN 46227-8590
(317) 781-4588
(317) 782-4885
Mailing address
PO BOX 664056, INDIANAPOLIS, IN 46266-4056
(317) 780-3333
(317) 780-3345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
70000054A
IN
Other
Enumeration date
09/02/2006
Last updated
12/14/2009
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