Individual provider · Type 1 NPI
Martha Hailey Eitelman, APRN, FNP
Family Nurse Practitioner · Southlake, TX
NPI number
1770488652
Active
Practice location
550 N Carroll Ave # 100
Southlake, TX 76092-6408
Mailing address
5317 Timber Creek Rd
Flower Mound, TX 75028-2565
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1251541 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1770488652
Martha Hailey Eitelman, APRN, FNP's National Provider Identifier is 1770488652, issued on Oct 12, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southlake, TX. The record was last updated on Oct 12, 2026.