STACY D MARTIN

SCOTTSVILLE, KY
NPI1992763569
Professional NameSTACY MARTIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ  rn134146)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: AZ  134146)
Enumeration Date2006-05-03
Last Update Date2011-01-17
Business Address
Ms. STACY D MARTIN CRNP
1566 PEA RIDGE RD
SCOTTSVILLE, KY 42164-7702
Phone number: 928-266-7022
Mailing Address
Ms. STACY D MARTIN CRNP
1566 PEA RIDGE RD
SCOTTSVILLE, KY 42164-7702
Phone number: 928-266-7022