Individual
ELLEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9016 LAUREL GROVE DR, AUSTIN, TX 78758-6610
(512) 923-1138
Mailing address
9016 LAUREL GROVE DR, AUSTIN, TX 78758-6610
(512) 923-1138
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
695034
TX
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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