Individual
NANCY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6407 FAUNTLEROY WAY SW, SEATTLE, WA 98136-1820
(206) 228-1363
Mailing address
1594 ALKI AVE SW, # 201, SEATTLE, WA 98116-4877
(206) 228-1363
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30003218
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7694MA
REGENCE BLUE SHIELD
WA
Enumeration date
10/12/2006
Last updated
07/08/2007
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