Individual
AMANDA GAIL DEAN MARTIN
Active
Individual
AMANDA GAIL DEAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
162351
TN
363LA2100X
Acute Care Nurse Practitioner
13770
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
AP4328
AZ
Other
Enumeration date
11/05/2008
Last updated
03/06/2020
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