Individual
RYAN KRISTOPHER MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
163 VETERANS DR, WHITE RIVER JUNCTION, VT 05001-7005
(802) 295-9363
Mailing address
6280 INGLESTON DR APT 123, SPARKS, NV 89436-7009
(810) 772-6495
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
849526
NY
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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