National Provider Identifier Database

MIRENDA MARTIN, APRN – NPI #1407209075
Family Health


Contact Information

MIRENDA MARTIN, APRN
507 N MAIN STREET
SALEM FAMILY CLINIC 507 N MAIN STREET
SALEM, AR72576
Phone: 870-895-2541
Fax:
Website:
Specialty Taxonomy Code
* Family Health 364SF0001X

* Indicates primary specialty

NPI Profile & details for MIRENDA MARTIN

NPI Number 1407209075
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/19/2016
Last updated 07/19/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • AR License #: A004739
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MIRENDA MARTIN, APRN

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