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Individual

ANGELA KAY MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1206 W COLLIN RAYE DR, DE QUEEN, AR 71832-2030
(888) 710-8220
(866) 573-0761
Mailing address
PO BOX 1848, MENA, AR 71953-1841
(888) 710-8220
(866) 573-0761

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A03639
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191981758
AR
Enumeration date
03/14/2012
Last updated
02/27/2026
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