Individual provider · Type 1 NPI

Elizabeth Kathryn Martin, NP

Psychiatric/Mental Health Nurse Practitioner · Walled Lake, MI

NPI number 1679390645 Active

Practice location

1010 E West Maple Rd Ste 100
Walled Lake, MI 48390-3571

Mailing address

3247 Green Oaks Dr
West Bloomfield, MI 48324-3209

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4704270630 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1679390645

Elizabeth Kathryn Martin, NP's National Provider Identifier is 1679390645, issued on Sep 23, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Walled Lake, MI. The record was last updated on Sep 4, 2026.