Individual
CAROL A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901
(479) 709-7325
(479) 709-7335
Mailing address
PO BOX 1824, FORT SMITH, AR 72902-1824
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
P01075
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148971758
—
AR
05
—
200004770A
—
AR
Enumeration date
10/04/2005
Last updated
08/04/2008
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