MS. Stacy D Martin, CRNP
NPI #1992763569 in Scottsville, Kentucky
Provider Information
- NPI Number
- 1992763569
- Entity Type
- Individual
- Name
- MS. Stacy D Martin, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Credential
- CRNP
- Enumeration Date
- May 3, 2006
- Last Updated
- Jan 17, 2011
Practice Location
- Address
- 1566 PEA RIDGE RD
- City
- Scottsville
- State
- Kentucky
- ZIP Code
- 42164-7702
- Phone
- (928) 266-7022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Pediatrics — Pediatrics |
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