Individual provider · Type 1 NPI
Stacy D. Martin, CRNP
Pediatric Nurse Practitioner · Scottsville, KY
NPI number
1992763569
Active
Practice location
1566 Pea Ridge Rd
Scottsville, KY 42164-7702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 134146 (AZ) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN134146 (AZ) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Scottsville
About NPI 1992763569
Stacy D. Martin, CRNP's National Provider Identifier is 1992763569, issued on May 3, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Scottsville, KY. The record was last updated on Jan 17, 2011.