Individual
MARY LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ANP-C
Contact information
Practice address
11020 KING ST STE 220, OVERLAND PARK, KS 66210-1201
(913) 730-7746
(913) 214-2221
Mailing address
11020 KING ST STE 220, OVERLAND PARK, KS 66210-1201
(913) 730-7746
(913) 214-2221
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2011009484
MO
363L00000X
Nurse Practitioner
5375392021
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
2011009484
MO
Other
Enumeration date
05/09/2011
Last updated
07/08/2023
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