Individual
MARY C MARTIN-HEMPHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-5000
Mailing address
PO BOX 6309, SOUTH BEND, IN 46660-6309
(574) 335-8700
(574) 335-0760
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
28165946
IN
363LN0000X
Neonatal Nurse Practitioner
Primary
71002131
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200816510
—
IN
Enumeration date
10/24/2006
Last updated
05/08/2015
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