MEDICARE: NIRMALA MARTIN FNP-C

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	207R00000X	Internal Medicine Physician	1041732	TX
2	207R00000X	Internal Medicine Physician	F03211182	TX

General Provider Information

NPI Number	:	1235717307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIRMALA MARTIN FNP-C

Provider Business Mailing Address
First Line	:	3714 GOOSE CREEK PKWY
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75040-1066
Country	:	US
Telephone Number	:	214-780-8211
Fax Number	:

Provider Business Practice Location Address
First Line	:	3714 GOOSE CREEK PKWY
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75040-1066
Country	:	US
Telephone Number	:	214-780-8211
Fax Number	:

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

Provider Enumeration Date	:	03/31/2021
Last Update Date	:	12/12/2025

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