Individual
MRS. MARY ELIZABETH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1908 MEETING CT, WILMINGTON, NC 28401-6631
(910) 342-9969
Mailing address
1908 MEETING CT, WILMINGTON, NC 28401-6631
(910) 342-9969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900212
NC
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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