Individual
MS. ANITA LOUISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1251 ELBOWOODS LOOP, NEW TOWN, ND 58763
(701) 627-4750
(701) 627-3803
Mailing address
1251 ELBOWOODS LOOP, NEW TOWN, ND 58763
(701) 627-4750
(701) 627-3803
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
30406
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54142
BLUE CROSS BLUE SHIELD
NC
01
—
7422261
AETNA
NC
05
—
8954142
—
NC
Enumeration date
03/20/2006
Last updated
04/14/2025
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