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NPI Code Detail

MEDICARE: EMILY C MARTIN NP

MEDICARE: EMILY C MARTIN NP
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 Nurse399364-1OH
2363LP0200XPediatric Nurse Practitioner17494OH

General Provider Information

NPI Number : 1841662798
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY C MARTIN NP
Provider Business Mailing Address
First Line : 1522 CLAREMONT AVE
Second Line :
City : ASHLAND
State : OH
Zip : 44805-3533
Country : US
Telephone Number : 419-207-1085
Fax Number : 419-207-0607
Provider Business Practice Location Address
First Line : 1522 CLAREMONT AVE
Second Line :
City : ASHLAND
State : OH
Zip : 44805-3533
Country : US
Telephone Number : 419-207-1085
Fax Number : 419-207-0607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2015
Last Update Date : 08/04/2016

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