Leah M. Martin, NP
Nurse Practitioner, Gerontology in Midland, MI. Individual provider (NPI-1).
NPI number1114479656
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1114479656
- Entity type
- Individual (NPI-1)
- Name
- Leah M. Martin
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2016
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 4704203589 | MI | Yes |
Practice location
4201 Campus Ridge Dr Ste 3500Midland, MI 48640-6132
Phone 989-794-5240 · Fax 989-488-5886
Mailing address
4201 Campus Ridge DrMidland, MI 48640
Phone 989-794-5240 · Fax 989-488-5886
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