Individual
ANITA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
520 W LAKE MARY BLVD STE 214, SANFORD, FL 32773
(800) 614-4124
Mailing address
1317 EDGEWATER DR # 1973, ORLANDO, FL 32804-6350
(407) 274-7593
(407) 598-5647
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3193782
FL
363L00000X
Nurse Practitioner
APRN002471
NV
363LF0000X
Family Nurse Practitioner
3193782
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3193782
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467574399
—
NV
01
—
243829
NURSE PRACTITIONER
AZ
01
—
APRN002471
ADVANCED PRACTICE REGISTERED NURSE
NV
01
—
APRN3193782
ADVANCED PRACTICE REGISTERED NURSE
FL
Enumeration date
04/06/2007
Last updated
02/04/2021
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