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Individual

MS. RENITA KAYE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
4301 W MARKHAM ST # 508, LITTLE ROCK, AR 72205-7101
(501) 686-7000
Mailing address
4301 W MARKHAM ST # 508, LITTLE ROCK, AR 72205-7101
(501) 686-7000

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A005394
AR

Other

Enumeration date
12/04/2017
Last updated
03/22/2018
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