Individual
CHRISTA D MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
BOX 11019 ASU, 1901 JOHNSON STREET, SAN ANGELO, TX 76909-1019
(325) 942-2171
(325) 942-2133
Mailing address
BOX 11019 ASU, 1901 JOHNSON STREET, SAN ANGELO, TX 76909-1019
(325) 942-2171
(325) 942-2133
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
540682
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176201501
—
TX
Enumeration date
02/20/2006
Last updated
11/15/2012
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