Individual provider · Type 1 NPI
Mary Martin, AGACNP-BC
Acute Care Nurse Practitioner · St. Louis, MO
NPI number
1275060907
Active
Practice location
615 S New Ballas Rd
St. Louis, MO 63141-8221
Mailing address
615 South New Ballas
St. Louis, MO 63143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 2017008673 (MO) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1275060907
Mary Martin, AGACNP-BC's National Provider Identifier is 1275060907, issued on May 12, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in St. Louis, MO. The record was last updated on May 12, 2017.