Individual
ERICA EDITH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
1035 BELLEVUE AVE, SUITE 502, SAINT LOUIS, MO 63117-1854
(314) 638-3600
(314) 638-4443
Mailing address
1035 BELLEVUE AVE, SUITE 502, SAINT LOUIS, MO 63117-1854
(314) 638-3600
(314) 638-4443
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
129669
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129669
STATE BD OF NURSING LICENSE
MO
Enumeration date
07/15/2009
Last updated
07/15/2009
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