Individual
SHAWN THOMAS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, PMHNP
Contact information
Practice address
8261 MARKET ST, YOUNGSTOWN, OH 44512-6254
(330) 286-0050
Mailing address
851 EDENRIDGE DR, YOUNGSTOWN, OH 44512-3128
(330) 466-9328
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.406433
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0031656
OH
Other
Enumeration date
06/30/2022
Last updated
01/14/2024
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