Doctor Name: | RHEA MARTIN |
NPI Number: | 1003851874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP |
License Number: | 71001625A |
Business Practice Address: | 1205 S Main St Suite 205 Crown Point, IN - 463073676 |
Business Phone Number: | 2196626538 |
Business Fax Number: | 2196626541 |
Mailing Address: | 1040 Sierra Dr, Suite 400 GREENWOOD |
State: | IN |
Postal Code: | 461437241 |
Phone Number: | 3175284284 |
Fax Number: | 3178658355 |
NPI Enumeration Date: | 06/17/2006 |
NPI Last Update Date: | 05/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 71001625A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |