Individual
TERI LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 CLAY EDWARDS DR STE 240, NORTH KANSAS CITY, MO 64116-3254
(816) 691-2021
(816) 346-7690
Mailing address
9411 N OAK TRFY STE LL1, KANSAS CITY, MO 64155-2262
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
14-115019-041
KS
163W00000X
Registered Nurse
2004019801
MO
367500000X
Certified Registered Nurse Anesthetist
2011027236
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557025-041
KS
Other
Enumeration date
06/02/2011
Last updated
04/28/2023
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