Individual
MRS. JUDY ANN MARTYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3795 4 MILE RD NE, GRAND RAPIDS, MI 49525-9713
(616) 363-4171
Mailing address
3795 4 MILE RD NE, GRAND RAPIDS, MI 49525-9713
(616) 363-4171
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704216935
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4366491
—
MI
Enumeration date
08/01/2006
Last updated
07/08/2007
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