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1649624404

NPI Code Detail

MEDICARE: KARRIE MARTIN APRN

MEDICARE: KARRIE MARTIN APRN

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
1	363LF0000X	Family Nurse Practitioner	10016905	OR
2	363LF0000X	Family Nurse Practitioner	25338	SC
3	163WC0400X	Case Management Registered Nurse	4704303950	MI
4	363L00000X	Nurse Practitioner	0024187032	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	260849	OTHER	SC	RN SC
2	F07210180	OTHER		NP CERTIFICATION
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649624404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARRIE MARTIN APRN

Provider Business Mailing Address
First Line	:	213 CLEARVIEW DRIVE EXT
Second Line	:
City	:	GREER
State	:	SC
Zip	:	29651-1107
Country	:	US
Telephone Number	:	734-431-0778
Fax Number	:	864-442-4126

Provider Business Practice Location Address
First Line	:	508 UPLAND ST
Second Line	:
City	:	KENAI
State	:	AK
Zip	:	99611-8026
Country	:	US
Telephone Number	:	907-335-7500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2016
Last Update Date	:	12/04/2025

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Directions to “ KARRIE MARTIN APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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