Individual
GRETA MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1216 RYANS RD, WORTHINGTON, MN 56187-1722
(507) 372-2921
(507) 372-5789
Mailing address
1216 RYANS RD, WORTHINGTON, MN 56187-1722
(507) 372-2921
(507) 372-5789
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R1354263
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1572971000
—
MN
Enumeration date
07/12/2006
Last updated
06/03/2015
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