Organization
SUSAN A. MARTIN NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ANITA MARTIN NP-C (HEALTHCARE PROVIDER/OWNER)
(812) 290-1611
Entity
Organization
Contact information
Practice address
PINE KNOLL ASSISTED LIVING, 607 WILSON CREEK RD., LAWRENCEBURG, IN 47025
(812) 537-4422
(812) 537-3463
Mailing address
7655 STATE ROAD 48, AURORA, IN 47001-8987
(812) 290-1611
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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