MIA CARROLL MARTIN RN CPNP NPI 1508104001

NPI Information

  • NPI: 1508104001
  • Provider Name: MIA CARROLL MARTIN, RN, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1935 MEDICAL DISTRICT DR
    CHILDREN'S MEDICAL CENTER
    DALLAS, TX
    ZIP 75235
  • Phone: (806) 786-3781

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NPI Details

Mia Carroll Martin, RN, CPNP is a pediatrics nurse practitioner in Dallas, TX. Mia Carroll Martin, RN, CPNP NPI is 1508104001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1935 MEDICAL DISTRICT DR
CHILDREN'S MEDICAL CENTER
DALLAS, TX
ZIP 75235-701
Phone: (806) 786-3781

The enumeration date for this NPI number is 1/18/2013 and was last updated on 8/20/2020.

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
1363LP0200XNurse PractitionerPediatrics720959TEXASYes

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: 3/30/2025

NPI Synchronization or Removal

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