Individual
ANDREW MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
902 S 6TH ST, COUNCIL BLUFFS, IA 51501-6441
(712) 325-1990
Mailing address
6511 DUTCH HALL RD, OMAHA, NE 68152-1049
(402) 306-8110
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G157858
IA
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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