Individual
SUSAN KAY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5201 NORTHSHORE DR, N LITTLE ROCK, AR 72118-5312
(501) 748-8000
(501) 748-8000
Mailing address
PO BOX 960454, OKLAHOMA CITY, OK 73196-0454
(800) 684-0052
(405) 844-1794
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A01756
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157708758
—
AR
01
—
P00218372
RAILROAD MEDICARE
—
01
—
P01121769
RAILROAD MEDICARE
AR
Enumeration date
07/01/2005
Last updated
03/28/2013
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