Individual
JOY FREY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
FORT DEFIANCE PHS HOSPITAL, CORNER OF RT. N12 AND N7, FORT DEFIANCE, AR 86504
(928) 729-8000
Mailing address
PO BOX 2116, FORT DEFIANCE, AZ 86504-2116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN358409L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093215
—
AZ
Enumeration date
11/13/2006
Last updated
07/08/2007
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