Individual
MISS CLARA LYNNE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 443-4301
Mailing address
803 SHIPLEY ST, SPRINGDALE, AR 72764-5422
(479) 751-0294
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
P00592
AR
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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