Individual
ANN RACHELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.483674
OH
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.483674
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.483674
OH
164W00000X
Licensed Practical Nurse
LPN.158486.MEDS-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
08/02/2016
Last updated
12/30/2025
Update your record
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