Individual
LAURA C. MARTIN
Active
Individual
LAURA C. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9213886
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013550 00
—
FL
01
—
G002J
BCBS
FL
01
—
P00758247
RAILROAD MEDICARE
—
01
—
XXX-XX-6273
CHAMPUS TRICARE - SOUTH REGION
—
Enumeration date
06/23/2009
Last updated
09/16/2013
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