Individual
ALICIA LESLIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-NPT, NNP-BC
Contact information
Practice address
1235 E CHEROKEE ST, NEONATAL INTENSIVE CARE UNIT, SPRINGFIELD, MO 65804-2203
(417) 820-2891
(417) 820-7850
Mailing address
1235 E CHEROKEE ST, NEONATAL INTENSIVE CARE UNIT, SPRINGFIELD, MO 65804-2203
(417) 820-2891
(417) 820-7850
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
2011027231
MO
Other
Enumeration date
08/08/2011
Last updated
10/03/2011
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