SUSAN A. MARTIN NP LLC NPI 1134887102

NPI Information

NPI: 1134887102
Provider Name: SUSAN A. MARTIN NP LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
PINE KNOLL ASSISTED LIVING
607 WILSON CREEK RD.
LAWRENCEBURG, IN
ZIP 47025
Phone: (812) 537-4422
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SUSAN A. MARTIN NP LLC is a primary care nurse practitioner in Lawrenceburg, IN. SUSAN A. MARTIN NP LLC NPI is 1134887102. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

PINE KNOLL ASSISTED LIVING
607 WILSON CREEK RD.
LAWRENCEBURG, IN
ZIP 47025
Phone: (812) 537-4422
Fax: (812) 537-3463

The provider's authorized official is Susan Anita Martin .
The authorized official title is Healthcare Provider/owner and has the following contact phone number (812) 290-1611.

The enumeration date for this NPI number is 12/7/2021 and was last updated on 12/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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