Individual
NANCY J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
1069 KLOTZ RD STE A, BOWLING GREEN, OH 43402-4832
(419) 728-0110
(419) 728-0113
Mailing address
1069 KLOTZ RD STE A, BOWLING GREEN, OH 43402-4832
(419) 728-0110
(419) 728-0113
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP04622
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2377280
—
OH
Enumeration date
03/23/2006
Last updated
03/22/2016
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