Individual
ANNA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
325 IL ROUTE 2, 325 IL ROUTE 2, DIXON, IL 61021
(815) 284-6611
Mailing address
325 IL ROUTE 2, 325 IL ROUTE 2, DIXON, IL 61021
(815) 284-6611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041497071
IL
Other
Enumeration date
07/11/2023
Last updated
08/04/2023
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