Individual
MARTINA RENATE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
(606) 408-6825
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
3009684
KY
363LF0000X
Family Nurse Practitioner
3009684
KY
363LG0600X
Gerontology Nurse Practitioner
Primary
3009684
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100463860
—
KY
Enumeration date
10/12/2015
Last updated
02/22/2021
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