Martin, Michelle Renae

Martin, Michelle Renae is an individual health care provider with primary practice located at 9119 W 74Th St Ste 260 , Merriam KS 66204-2268. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Martin, Michelle Renae can be contacted via phone (913) 632-9480.

Contact Information

Primary practice address
9119 W 74Th St Ste 260 Merriam KS 66204-2268
Phone: (913) 632-9480
Fax: (913) 632-9499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2004027607 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 5375286 Kansas

Profile Details

NPI number 1942454608
LBN Legal business name Martin, Michelle Renae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2008
Last updated Oct 19th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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