Martin, Susan Kimberly

Martin, Susan Kimberly is an individual health care provider with primary practice located at 1002 E Mcdowell Rd Suite 120, Phoenix AZ 85006-2625. She recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as her primary health care specialty. Martin, Susan Kimberly can be contacted via phone (602) 256-2273.

Contact Information

Primary practice address
1002 E Mcdowell Rd Suite 120 Phoenix AZ 85006-2625
Phone: (602) 256-2273
Fax: (602) 258-5638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Ambulatory Care 163WP2201X FNP AP0555 Arizona

Profile Details

NPI number 1578507901
LBN Legal business name Martin, Susan Kimberly
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578507901 NPPES
Arizona MEDICAID 054191

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