Individual
MINDY TEANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1951 51ST ST NE, CEDAR RAPIDS, IA 52402-2460
(319) 294-1899
(319) 294-1773
Mailing address
1951 51ST ST NE, CEDAR RAPIDS, IA 52402-2460
(319) 294-1899
(319) 294-1773
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A095901
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2423764
—
IA
Enumeration date
05/10/2006
Last updated
01/25/2013
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