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Maria Ravkatovna Martin
Acute Care Nurse Practitioner in St Louis, Missouri
NPI 1417670449

Maria Ravkatovna Martin is an Acute Care Nurse Practitioner based in Albany, MO and is specialized in Acute Care. Maria Ravkatovna Martin practices in St Louis, MO. The NPI Number for Maria Ravkatovna Martin is 1417670449 and holds a License No. RN252454 (Missouri).

The current practice location address for Maria Ravkatovna Martin is 1201 Grant Blvd, St Louis, MO and can be reached out via phone at 314-257-8000.

Location: 1201 Grant Blvd, St Louis, MO, 31707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417670449
Provider Name
Maria Ravkatovna Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
1201 Grant Blvd, St Louis, MO, 31707
Phone Number
314-257-8000
Fax Number
Provider Enumeration Date
09/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1201 Grant Blvd
City
St Louis
State
Missouri
Zip
63104
Phone Number
314-257-8000
Fax Number
person
Provider Business Mailing Address Details
Address
1201 Grant Blvd
City
St Louis
State
Missouri
Zip
63104
Phone Number
314-257-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
RN252454 (Georgia)
Definition
Definition to come...
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