| Doctor Name: | JOANN MARTIN |
| NPI Number: | 1174644090 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, CPNP |
| License Number: | 070361 |
| Business Practice Address: | 911 E 16th St Sedalia, MO - 653017733 |
| Business Phone Number: | 6608271130 |
| Business Fax Number: | 6608271141 |
| Mailing Address: | 30192 Highway M, SEDALIA |
| State: | MO |
| Postal Code: | 653010963 |
| Phone Number: | 6608270151 |
| Fax Number: | 6608272722 |
| NPI Enumeration Date: | 04/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 070361 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |