Individual provider · Type 1 NPI

Everette Martin

Student in an Organized Health Care Education/Training Program · Little Rock, AR

NPI number 1356170476 Active

Practice location

4301 W Markham St
Little Rock, AR 72205-7199

Call (501) 296-1100 Map

Mailing address

1507 N Fillmore St
Little Rock, AR 72207-5371

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X3062942 (AR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356170476

Everette Martin's National Provider Identifier is 1356170476, issued on Jul 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Little Rock, AR. The record was last updated on Jul 29, 2024.