Individual
ELISABETH ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17624 N 31ST AVE, PHOENIX, AZ 85053-1935
(602) 467-5910
(602) 467-5980
Mailing address
17624 N 31ST AVE, PHOENIX, AZ 85053-1935
(602) 467-5910
(602) 467-5980
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN122417
AZ
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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