Individual
MRS. MARY MARGARET MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1005 W WORLEY ST, COLUMBIA, MO 65203-2037
(573) 874-7354
(573) 874-7758
Mailing address
1005 W WORLEY ST, P.O. BOX 6015, COLUMBIA, MO 65203-2037
(573) 874-7354
(573) 874-7758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111600
MO
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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