Individual
MRS. SUSAN DENISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
2201 CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 526-7523
Mailing address
11113 RESEARCH BLVD, AUSTIN, TX 78759-5236
(512) 324-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
207370
OK
363LA2100X
Acute Care Nurse Practitioner
AP122698
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP-02195
NM
Other
Enumeration date
11/29/2012
Last updated
10/23/2024
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