Individual
LINDA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
Mailing address
1911 HIGHWAY 69 S, MT VERNON, IN 47620-7267
(812) 453-4980
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28093370A
IN
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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