Individual
KATHRYN ASHLEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1015 E 32ND ST STE 306, AUSTIN, TX 78705-2701
(512) 294-2180
(512) 822-7640
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(512) 421-4250
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
711961
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP118245
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216102801
—
TX
05
—
216102803
—
TX
Enumeration date
12/16/2009
Last updated
06/13/2022
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