Individual
MICHELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15182 N 75TH AVE # UINT180, PEORIA, AZ 85381-4722
(623) 487-3334
Mailing address
15182 N 75TH AVE, PEORIA, AZ 85381-4722
(623) 487-3334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
235426
AZ
Other
Enumeration date
01/06/2020
Last updated
08/03/2020
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