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NPI Code Detail

MEDICARE: KAREN M MARTIN CNP

MEDICARE:   KAREN M MARTIN  CNP
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
1363LP0200XPediatric Nurse PractitionerAPRN.CNP.09018OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174616486
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN M MARTIN CNP
Provider Business Mailing Address
First Line : PO BOX 933432
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0039
Country : US
Telephone Number : 937-641-5072
Fax Number : 937-641-6129
Provider Business Practice Location Address
First Line : 3301 DAYTON XENIA RD STE 200
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45432-2759
Country : US
Telephone Number : 937-641-5098
Fax Number : 937-912-9395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 05/28/2026

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