Individual
LOREN MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 2ND AVE S, BIRMINGHAM, AL 35294-1826
(205) 934-3411
Mailing address
1720 2ND AVE S, BIRMINGHAM, AL 35294-0004
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-173548
AL
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1-173548
AL
Other
Enumeration date
03/14/2020
Last updated
02/01/2024
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