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Teri A Martin, F.N.P.

Nurse Practitioner in Elmira, NY. Individual provider (NPI-1).

NPI number1619976933
StatusActive
Last updated in NPPESJun 8, 2016

Details

NPI
1619976933
Entity type
Individual (NPI-1)
Name
Teri A Martin
Credential
F.N.P.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 19, 2005
Last updated
Jun 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner330978NYYes
363LF0000X Nurse Practitioner, FamilyF330978-1NY

Practice location

600 Roe Ave
Elmira, NY 14905-1629

Phone 607-737-4508 · Fax 607-735-5738

Mailing address

571 Saint Josephs Blvd Fl 2
Elmira, NY 14901-3230

Phone 607-271-2050

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