Individual
TERESA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 902-2310
Mailing address
375 APPLE TREE DR, IONIA, MI 48846-7506
(616) 527-1790
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704205431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715928
—
MI
Enumeration date
04/26/2006
Last updated
01/26/2016
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