Individual
ANNE THERESE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 LOURDES HALL, NOTRE DAME, IN 46556-5036
(574) 284-5699
(574) 284-5807
Mailing address
1606 TUDOR LN, SOUTH BEND, IN 46614-2355
(574) 231-8314
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71000143A
IN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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