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Contact Information

DEBORAH C MARTIN, RNC, NNP
9515 HOLY CROSS LN
BREESE, IL62230-3618
 Phone: 618-526-4511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal, Critical Care

363LN0005X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DEBORAH C MARTIN · (Female)

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
  • IL License # 209012640
  • MO License # 112468
Hospital affiliation(s) Not Available
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.

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