Individual provider · Type 1 NPI
Martha L. Coventry
Family Nurse Practitioner · Sister Bay, WI
NPI number
1992839641
Active
Practice location
10539 Applewood Road
Sister Bay, WI 54234
Mailing address
PO Box 104
Ellison Bay, WI 54210-0104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 3069 (WI) |
Family Nurse Practitioner: Definition to come...
About NPI 1992839641
Martha L. Coventry's National Provider Identifier is 1992839641, issued on Mar 15, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sister Bay, WI. The record was last updated on Dec 15, 2010.