Individual
ALEXIS CHARLENE MARTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 326-3401
(218) 999-1461
Mailing address
1 5TH ST, NASHWAUK, MN 55769-1143
(218) 259-2318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11805
MN
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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