Individual
DEIRDRA V MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
300 S. TWINING STREET, BLDG 760, MAXWELL AFB, AL 36112-6219
(334) 953-5200
(334) 953-8607
Mailing address
300 SOUTH TWINING STREET, BLDG 760, MAXWELL AFB, AL 36112-6219
(334) 953-5200
(334) 953-8607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-149010
AL
Other
Enumeration date
02/10/2021
Last updated
07/30/2026
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