Individual
MAE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7811 N POINT BLVD, WINSTON SALEM, NC 27106-3209
(336) 759-0700
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 759-0700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5006741
NC
Other
Enumeration date
02/12/2014
Last updated
01/02/2025
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