MEDICARE: SYDNEE MICHELLE MARTIN

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	367A00000X	Advanced Practice Midwife	663	MN

General Provider Information

NPI Number	:	1942163407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEE MICHELLE MARTIN

Provider Business Mailing Address
First Line	:	916 WESCOTT SQ APT 303
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55123-2290
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	968 GRAND AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55105-3014
Country	:	US
Telephone Number	:	651-895-2520
Fax Number	:

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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Directions to “ SYDNEE MICHELLE MARTIN ” Practice Location

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