| Doctor Name: | CONSTANCE MARIE MARTIN |
| NPI Number: | 1003257874 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | COA.14817-NP |
| Business Practice Address: | 3333 Burnet Ave Ml 2018 Cincinnati, OH - 452293026 |
| Business Phone Number: | 5136364355 |
| Business Fax Number: | 5136368133 |
| Mailing Address: | 3333 Burnet Ave, Ml 2018 CINCINNATI |
| State: | OH |
| Postal Code: | 452293026 |
| Phone Number: | 5136364355 |
| Fax Number: | 5136368133 |
| NPI Enumeration Date: | 07/09/2013 |
| NPI Last Update Date: | 07/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | COA.14817-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |