Individual
MELISSA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1011 W GROVE ST STE 120, KAUFMAN, TX 75142-1883
(972) 932-1319
Mailing address
1011 W GROVE ST STE 120, KAUFMAN, TX 75142-1883
(972) 932-1319
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
661834
TX
363LP0200X
Pediatric Nurse Practitioner
661834
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP134351
TX
Other
Enumeration date
06/15/2017
Last updated
09/18/2018
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