Individual
MRS. LEAH MARANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1014 HARKRIDER ST, SUITE B, CONWAY, AR 72032-4404
(501) 327-7100
(501) 279-9011
Mailing address
275 CHERRY LN, RUSSELLVILLE, AR 72802-2117
(479) 284-3029
(479) 284-2244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01850
AR
Other
Enumeration date
05/23/2007
Last updated
10/05/2007
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