| NPI | 1902262611 |
|---|---|
| Former Name | MARIAH STONE MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO C-APN.0100661-C-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL ARNP93581071) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60594755) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN288825) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP122907) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2024-05-09 |