Individual
IVA FU MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2542 E STATE HIGHWAY 46, SPENCER, IN 47460-6807
(812) 219-6354
Mailing address
2542 E STATE HIGHWAY 46, SPENCER, IN 47460-6807
(812) 219-6354
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28130723A
IN
Other
Enumeration date
05/30/2009
Last updated
06/02/2009
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