Individual
MAXIMINO MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CCNS, RN, MSN
Contact information
Practice address
80 GARDENIA DR, COVINGTON, LA 70433-9194
(985) 871-5900
Mailing address
PO BOX 54482, NEW ORLEANS, LA 70154-4482
(985) 871-5900
Taxonomy
Speciality
Code
Description
License number
State
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
AP07268
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2330314
—
LA
Enumeration date
10/05/2011
Last updated
03/24/2017
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