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Elisa Rose Martinez, LPN

Licensed Practical Nurse in Ann Arbor, MI. Individual provider (NPI-1).

NPI number1629795992
StatusActive
Last updated in NPPESOct 26, 2022

Details

NPI
1629795992
Entity type
Individual (NPI-1)
Name
Elisa Rose Martinez
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 26, 2022
Certification date
Oct 26, 2022
Last updated
Oct 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse144161OHYes

Practice location

2215 Fuller Road
Ann Arbor, MI 48105-2300

Phone 419-259-2000

Mailing address

2215 Fuller Rd
Ann Arbor, MI 48105-2300

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