Individual
AMANDA SUZANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
951 N BROAD ST, TAZEWELL, TN 37879-4323
(865) 658-5454
(423) 259-8662
Mailing address
951 N BROAD ST, TAZEWELL, TN 37879-4323
(865) 658-5454
(423) 259-8662
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000015716
TN
Other
Enumeration date
04/05/2011
Last updated
02/02/2024
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