Individual
ANDREA SUZANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C
Contact information
Practice address
8144 WALNUT HILL LN, SUITE 800, DALLAS, TX 75231-4388
(214) 540-0700
(214) 540-0701
Mailing address
8144 WALNUT HILL LN, SUITE 800, DALLAS, TX 75231-4388
(214) 540-0700
(214) 540-0701
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
618452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
618452
STATE LICENSE
TX
Enumeration date
05/23/2005
Last updated
09/26/2011
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