MEDICARE: ERIN MARTEN APRN-CNM

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	APRN.CNM.19113	OH

General Provider Information

NPI Number	:	1518411396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN MARTEN APRN-CNM

Provider Business Mailing Address
First Line	:	329 N WEST ST
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45801-4332
Country	:	US
Telephone Number	:	419-221-3072
Fax Number	:

Provider Business Practice Location Address
First Line	:	2244 COLLINGWOOD BLVD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43620-1147
Country	:	US
Telephone Number	:	567-318-3891
Fax Number	:	419-225-8878

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

Provider Enumeration Date	:	08/09/2016
Last Update Date	:	10/12/2024

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