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NPI Code Detail

MEDICARE: ANESHA EZRA MARTIN MSN, APRN, CNM

MEDICARE: ANESHA EZRA MARTIN MSN, 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
1367A00000XAdvanced Practice Midwife1212270TX

General Provider Information

NPI Number : 1538659529
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANESHA EZRA MARTIN MSN, APRN, CNM
Provider Business Mailing Address
First Line : 5720 STATE HIGHWAY 22
Second Line :
City : HILLSBORO
State : TX
Zip : 76645-4048
Country : US
Telephone Number : 315-783-5098
Fax Number :
Provider Business Practice Location Address
First Line : 101 CIRCLE DR
Second Line :
City : HILLSBORO
State : TX
Zip : 76645-2670
Country : US
Telephone Number : 254-580-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2018
Last Update Date : 02/05/2026

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