Individual
HEATHER R MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, ANRN
Contact information
Practice address
17101 SNOWMOBILE LN ST 102, PRIMARY CARE ASSOCIATES, EAGLE RIVER, AK 99577
(907) 694-7223
(907) 696-5123
Mailing address
2440 E TUDOR RD, PMB 1168, ANCHORAGE, AK 99507-1185
(907) 646-2559
(907) 562-1319
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
839
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
839
LICENSE
AK
05
—
NP8888
—
AK
Enumeration date
03/30/2006
Last updated
03/07/2023
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