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NPI Code Detail

MEDICARE: MS. HEIDI LYNNE MARTIN BSN

MEDICARE:  MS. HEIDI LYNNE MARTIN  BSN
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
1163W00000XRegistered Nurse225855MA

General Provider Information

NPI Number : 1679755920
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HEIDI LYNNE MARTIN BSN
Provider Business Mailing Address
First Line : 405 CHATHAM DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-8691
Country : US
Telephone Number : 919-933-9345
Fax Number :
Provider Business Practice Location Address
First Line : 405 CHATHAM DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-8691
Country : US
Telephone Number : 919-933-9345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2007
Last Update Date : 11/28/2007

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Directions to “ MS. HEIDI LYNNE MARTIN BSN” Practice Location

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