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Individual

MS. DEBORAH B MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5100
(615) 322-3000
Mailing address
4163 VILLAGE AT VANDERBILT, NASHVILLE, TN 37232-8678
(615) 322-3573
(615) 936-6095

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN5492
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
620476822
TAX ID
Enumeration date
06/27/2006
Last updated
07/09/2007
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