Doctor Name: | JANET L MARTI |
NPI Number: | 1699782169 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | R087475-7 |
Business Practice Address: | 1100 E. Broadway Affiliated Community Medical Centers Redwood Falls, MN - 56283 |
Business Phone Number: | 5076372985 |
Business Fax Number: | 5076373057 |
Mailing Address: | 1100 E. Broadway, Affiliated Community Medical Centers REDWOOD FALLS |
State: | MN |
Postal Code: | 56283 |
Phone Number: | 5076372985 |
Fax Number: | 5076373057 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 08/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R087475-7 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |