Individual
MS. SAMANTHA REGENE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(256) 541-7491
Mailing address
1275 YORK AVE, NEW YORK, NY 10065-6007
(256) 541-7491
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2011003186
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
F431632-01
NY
Other
Enumeration date
09/06/2011
Last updated
03/19/2020
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