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Individual

TONI M MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
106 W PIKE AVE, PETERSBURG, IN 47567-8750
(812) 354-1052
(812) 354-8280
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 354-1052
(812) 354-8280

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000707A
IN
363LF0000X
Family Nurse Practitioner
71000707A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000337169
BCBS PIN
IN
05
200286470
IN
Enumeration date
05/31/2005
Last updated
06/29/2016
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