Individual
JULIE ELISABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5019 PORTICO WAY, MIDLAND, TX 79707-3102
(432) 242-0540
(432) 242-0541
Mailing address
4902 NORTH COUNTY ROAD 1152, MIDLAND, TX 79705
(972) 921-9568
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP135967
TX
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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