Individual
DANIELLE MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(800) 879-2467
Mailing address
13113 HAMPTON FARM LN, BRANDYWINE, MD 20613-5813
(240) 585-2717
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP025251
PA
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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