Individual
MRS. MARTHA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
125 OAK ST, COTTON PLANT, AR 72036-5089
(870) 459-3588
(870) 459-3906
Mailing address
PO BOX 497, 623 N 9TH STREET, AUGUSTA, AR 72006
(870) 347-3300
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A01500
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165030758
—
AR
Enumeration date
12/12/2006
Last updated
02/26/2016
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