Individual
MRS. AMY STUTTS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
600 N UNION AVE, NEW BRAUNFELS, TX 78130-4194
(830) 606-9111
Mailing address
600 N UNION AVE, NEW BRAUNFELS, TX 78130-4194
(830) 606-9111
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
091158-23
NH
363LA2100X
Acute Care Nurse Practitioner
24455
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
AP119277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962709105
BLUE CROSS BLUE SHIELD
TX
05
—
281650601
—
TX
05
—
281650602
—
TX
05
—
NP7298
—
SC
01
—
P01078366
RR MEDICARE
TX
Enumeration date
02/24/2011
Last updated
07/08/2024
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