Individual
ELIZABETH G MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14402 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-2167
(509) 922-2625
(509) 922-4001
Mailing address
14402 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-2167
(509) 922-2625
(509) 922-4001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60112017
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004317
—
WA
Enumeration date
12/08/2009
Last updated
04/06/2021
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