SAMANTHA MARTIN

PEORIA, IL
NPI1396314308
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209022870)
Additional Taxonomies363LG0600X Nurse Practitioner, Gerontology
(Licence: IL  209022870)
Enumeration Date2021-06-23
Last Update Date2021-06-23
Business Address
SAMANTHA MARTIN AGACNP-BC
ADDRESS: 530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000
Mailing Address
SAMANTHA MARTIN AGACNP-BC
5804 MONMARTE CV
AUSTIN, TX 78744-5903
Phone number: 309-397-2698