Individual
MS. DEBORAH CHRISTINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, NNP
Contact information
Practice address
9515 HOLY CROSS LN, BREESE, IL 62230-3618
(618) 526-4511
Mailing address
125 JARDIN CERCLE, HIGHLAND, IL 62249-4708
(618) 978-8174
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
209012640
IL
363LN0005X
Critical Care Neonatal Nurse Practitioner
112468
MO
Other
Enumeration date
05/13/2007
Last updated
12/27/2021
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