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NPI Code Detail

MEDICARE: MRS. RACHEL ROMERO MARTIN FNP

MEDICARE: MRS. RACHEL ROMERO MARTIN FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner904110MS

General Provider Information

NPI Number : 1063026086
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL ROMERO MARTIN FNP
Provider Business Mailing Address
First Line : 141 DARBY WAY
Second Line :
City : STARKVILLE
State : MS
Zip : 39759-1915
Country : US
Telephone Number : 662-769-3804
Fax Number :
Provider Business Practice Location Address
First Line : 1207 HIGHWAY 182 W
Second Line :
City : STARKVILLE
State : MS
Zip : 39759-9013
Country : US
Telephone Number : 662-320-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2020
Last Update Date : 01/28/2021

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