Individual
MRS. ELAINE ANN MARTIN-STOMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
804 AINSWORTH DR, SUITE 102, PRESCOTT, AZ 86301-1624
(928) 776-0601
(928) 776-0620
Mailing address
819 TOM MIX TRL, PRESCOTT, AZ 86301-6711
(928) 445-1574
(928) 445-1574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4702
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE # AP4702
STATE OF ARIZONA
AZ
Enumeration date
10/16/2012
Last updated
04/04/2016
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