Individual
MARY LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ANP-C
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
Update your record
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