Individual
REGINA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
522 E 11TH ST, SUITE 200, ANNISTON, AL 36207-4770
(256) 237-5302
(256) 237-5368
Mailing address
522 E 11TH ST, SUITE 200, ANNISTON, AL 36207-4770
(256) 237-5302
(256) 237-5368
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1049935
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891010422
—
AL
Enumeration date
10/04/2006
Last updated
09/19/2016
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