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Individual

DAWN ANN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-4998
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-4998

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
430040
NY
363LP0200X
Pediatric Nurse Practitioner
430040
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03805176
NY
Enumeration date
11/09/2007
Last updated
07/05/2023
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