Individual
MS. HEATHER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1968 N PEART RD STE 20, CASA GRANDE, AZ 85122-2497
(480) 214-9000
(480) 214-9999
Mailing address
2051 W CHANDLER BLVD STE 5, CHANDLER, AZ 85224-6239
(480) 214-9000
(480) 214-9999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN168783
AZ
363LF0000X
Family Nurse Practitioner
Primary
266780
AZ
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
266780
AZ
Other
Enumeration date
07/23/2014
Last updated
09/20/2024
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