Individual
ELIZABETH KATHRYN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
Mailing address
3247 GREEN OAKS DR, WEST BLOOMFIELD, MI 48324-3209
(248) 217-3592
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704270630
MI
Other
Enumeration date
09/23/2024
Last updated
09/27/2024
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