Individual
SARA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011673
KY
363LF0000X
Family Nurse Practitioner
3011673
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100560600
—
KY
Enumeration date
03/14/2018
Last updated
03/20/2024
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