Individual
HEATHER RAE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28297203A
IN
367500000X
Certified Registered Nurse Anesthetist
71008968A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP121515
TX
Other
Enumeration date
12/13/2011
Last updated
11/24/2025
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