Individual provider · Type 1 NPI
Samantha Martin, AGACNP-BC
Acute Care Nurse Practitioner · Peoria, IL
NPI number
1396314308
Active
Practice location
Address: 530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
5804 Monmarte Cv
Austin, TX 78744-5903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 209022870 (IL) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209022870 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1396314308
Samantha Martin, AGACNP-BC's National Provider Identifier is 1396314308, issued on Jun 23, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Peoria, IL. The record was last updated on Jun 23, 2021.