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Individual

EMILY ANNE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2204 LAKESHORE DR STE 440, BIRMINGHAM, AL 35209-8857
(205) 874-7844
(205) 874-7848
Mailing address
2204 LAKESHORE DR STE 440, BIRMINGHAM, AL 35209-8857
(205) 874-7844
(205) 874-7848

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-153618
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-153618
AL

Other

Enumeration date
03/19/2019
Last updated
02/10/2022
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