Bethany Nicole Martin
Nurse Practitioner in Vincennes, IN. Individual provider (NPI-1).
NPI number1164094827
StatusActive
Last updated in NPPESJul 13, 2021
Details
- NPI
- 1164094827
- Entity type
- Individual (NPI-1)
- Name
- Bethany Nicole Martin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2021
- Certification date
- Jun 8, 2021
- Last updated
- Jul 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71011306A | IN | Yes |
Practice location
520 S 7th StVincennes, IN 47591-1038
Phone 812-885-3344
Mailing address
2020 McDowell RdVincennes, IN 47591-5931
Phone 812-381-0120
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All 15 Nurse Practitioner providers in Vincennes · All 930 providers in Vincennes
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