Individual provider · Type 1 NPI
Maria Ravkatovna Martin
Acute Care Nurse Practitioner · St. Louis, MO
NPI number
1417670449
Active
Practice location
1201 Grant Blvd
St. Louis, MO 63104
Mailing address
539 N. Westorer Blvd, Ap 4101
Albany, GA 31707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | RN252454 (GA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1417670449
Maria Ravkatovna Martin's National Provider Identifier is 1417670449, issued on Sep 23, 2022. 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 Sep 23, 2022.