Individual
MRS. MEGHANN FAYE MARTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, NP-C
Contact information
Practice address
5433 FITZ AVE, PORTAGE, IN 46368-1414
(219) 763-7854
Mailing address
5433 FITZ AVE, PORTAGE, IN 46368-1414
(219) 763-7854
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28186004A
IN
363LF0000X
Family Nurse Practitioner
Primary
F09151190
IN
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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