NPI Profile for DEBORAH C MARTIN in BREESE, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal |
363LN0000X | 50 | Nurse Practitioner | |
Neonatal, Critical Care |
363LN0005X | 50 | Nurse Practitioner |
| NPI Number | 1639384506 |
|
| Status | Active | |
| Credentials | RNC, NNP | |
| Entity | Individual | |
| Enumeration date | 05/13/2007 | |
| Last updated | 12/27/2021 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEBORAH C MARTIN
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