Individual
MARIAH RENEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5278
Mailing address
4733 W STATE ROAD 58, FREETOWN, IN 47235-9754
(812) 767-8181
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28281485C
IN
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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