Individual
MS. MARTHA C. REISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
630 EAST RIVER RD, ELYRIA, OH 44035
(440) 326-4310
Mailing address
842 MILDRED AVE, LORAIN, OH 44052-1214
(440) 246-9484
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN137889 NP-05026
OH
364SA2100X
Acute Care Clinical Nurse Specialist
RN137889 NS-03045
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2402028
—
OH
Enumeration date
04/09/2007
Last updated
05/10/2011
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