person
Kelly Andrea Martin, APRN-C
Family Nurse Practitioner in Granite City, Illinois
NPI 1619123353

Kelly Andrea Martin is a Family Nurse Practitioner based in Alton, IL and is specialized in Family. Kelly Andrea Martin practices in Granite City, IL and has the professional credentials of APRN-C. The NPI Number for Kelly Andrea Martin is 1619123353 and holds a License No. 041273311 (Illinois).

The current practice location address for Kelly Andrea Martin is 50 Northgate Industrial Dr, Granite City, IL and can be reached out via phone at 618-877-4420.

Location: 50 Northgate Industrial Dr, Granite City, IL, 62002-8840
person
Provider Profile Details
NPI Number
1619123353
Provider Name
Kelly Andrea Martin
Credential
APRN-C
Provider Entity Type
Individual
Gender
Female
Address
50 Northgate Industrial Dr, Granite City, IL, 62002-8840
Phone Number
618-877-4420
Fax Number
Provider Enumeration Date
08/13/2008
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041273311 01 IL REGISTERED NURSE
institution
Provider Business Practice Location Address Details
Address
50 Northgate Industrial Dr
City
State
Zip
62040-6805
Phone Number
618-877-4420
Fax Number
person
Provider Business Mailing Address Details
Address
50 Northgate Industrial Dr
City
State
Zip
62040-6805
Phone Number
618-877-4420
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
041273311 (Illinois)
Definition
Definition to come...
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