Individual provider · Type 1 NPI
Micah Deshaun Martin, AGNP-C
Adult Health Nurse Practitioner · Dallas, TX
NPI number
1073002960
Active
Practice location
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP136599 (TX) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | AP136599 (TX) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1073002960
Micah Deshaun Martin, AGNP-C's National Provider Identifier is 1073002960, issued on May 7, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Dallas, TX. The record was last updated on Jul 3, 2024.