Individual provider · Type 1 NPI
Breanna Tyler Martin, NP
Family Nurse Practitioner · Salem, IN
NPI number
1861224099
Active
Practice location
1312 E Hackberry St
Salem, IN 47167-9604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71015633A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1861224099
Breanna Tyler Martin, NP's National Provider Identifier is 1861224099, issued on Aug 16, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salem, IN. The record was last updated on Aug 16, 2024.