Individual
MISS CYNTHIA M. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
920 UNIVERSITY ST, MARTIN, TN 38237-1605
(731) 587-8808
(731) 587-8810
Mailing address
406 N SPRING ST, MCMINNVILLE, TN 37110-2134
(731) 507-1212
(731) 507-1217
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000067570
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN0000067570
LICENSE
TN
Enumeration date
10/07/2011
Last updated
10/07/2011
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