Individual
MS. SUSAN B MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
8030 RESURRECTION DR, ANCHORAGE, AK 99504-4731
(304) 216-3290
Mailing address
8030 RESURRECTION DR, ANCHORAGE, AK 99504-4731
(304) 216-3290
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
28049
AK
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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