Individual
MARILYNN M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1310 LIBERTY ST, FRANKLIN, PA 16323
(814) 432-3163
(814) 437-2417
Mailing address
1310 LIBERTY ST, FRANKLIN, PA 16323
(814) 432-3163
(814) 437-2417
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN234220L
PA
363L00000X
Nurse Practitioner
Primary
SP000520G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P00132133
—
PA
Enumeration date
02/01/2006
Last updated
09/17/2013
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