Individual
MARLO C MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 WOMANS WAY, BATON ROUGE, LA 70817-5100
(225) 293-2523
(225) 293-1807
Mailing address
2644 S SHERWOOD FOREST BLVD, SUITE 121, BATON ROUGE, LA 70816-2248
(225) 293-2523
(225) 293-1807
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN114386 AP06025
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN114386 AP06025
LA LIC
LA
Enumeration date
03/19/2010
Last updated
09/23/2015
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