Individual
ANTHONY RONNY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CNP
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422
(763) 520-5200
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422
(763) 520-5200
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
011624
CT
363LA2100X
Acute Care Nurse Practitioner
11006843
FL
363LG0600X
Gerontology Nurse Practitioner
011624
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
11245
MN
363LG0600X
Gerontology Nurse Practitioner
209029057
IL
Other
Enumeration date
05/04/2020
Last updated
04/23/2026
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