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NPI Code Detail

MEDICARE: MRS. CHRISTINA L MARTIN LPN

MEDICARE: MRS. CHRISTINA L MARTIN LPN
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
1164W00000XLicensed Practical NursePN5170004FL
2106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RBT-17-34400OTHERBEHAVIOR TECHNICIAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427247659
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA L MARTIN LPN
Provider Business Mailing Address
First Line : 7261 W CHARLESTON BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1679
Country : US
Telephone Number : 702-396-0101
Fax Number :
Provider Business Practice Location Address
First Line : 7261 W CHARLESTON BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1679
Country : US
Telephone Number : 702-396-0101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2007
Last Update Date : 03/17/2018

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