Individual
LADONNA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
084890
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050225
—
NC
Enumeration date
11/23/2005
Last updated
08/29/2007
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