Individual
ELLEN M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2603 KAISER BLVD, WYOMISSING, PA 19610-3341
(610) 988-5089
(610) 988-5135
Mailing address
2603 KAISER BLVD, WYOMISSING, PA 19610-3341
(610) 988-5089
(610) 988-5135
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN219942L
PA
Other
Enumeration date
09/16/2006
Last updated
04/02/2014
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