Individual
EMILY SUZANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
400 N 9TH ST FL 3, SPRINGFIELD, IL 62702-5310
(217) 545-8000
(217) 757-6388
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209-010274
IL
363LF0000X
Family Nurse Practitioner
Primary
209-010274
IL
Other
Enumeration date
03/07/2013
Last updated
01/29/2024
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