Adrienne Nicole Martin
Nurse Practitioner, Family in Louisville, KY. Individual provider (NPI-1).
NPI number1093472292
StatusActive
Last updated in NPPESDec 14, 2021
Details
- NPI
- 1093472292
- Entity type
- Individual (NPI-1)
- Name
- Adrienne Nicole Martin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2021
- Certification date
- Dec 14, 2021
- Last updated
- Dec 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3016543 | KY | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 3016543 | KY |
Practice location
2529 Six Mile LnLouisville, KY 40220-2934
Phone 502-491-5560
Mailing address
303 Castleford DrGeorgetown, KY 40324-2576
Phone 859-338-6382
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