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Individual

MRS. CYNTHIA R MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2325 PANSY ST SW, SUITE E, HUNTSVILLE, AL 35801-3834
(256) 533-4626
(256) 533-4710
Mailing address
17251 ELK EST, ATHENS, AL 35614-4459
(256) 533-4626
(256) 533-4710

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AL 1-093078
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
891005730
AL
Enumeration date
07/07/2006
Last updated
07/08/2007
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