Individual
MEGAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2932 N 22ND PL, PHOENIX, AZ 85016-7809
(314) 304-1214
Mailing address
2932 N 22ND PL, PHOENIX, AZ 85016-7809
(314) 304-1214
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2016026758
MO
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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