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Ms. Sandra L Martin, NP
Nurse Practitioner in South Bend, Indiana
NPI 1851373898

Sandra L Martin is a Nurse Practitioner based in South Bend, IN. Sandra L Martin practices in South Bend, IN and has the professional credentials of NP. The NPI Number for Sandra L Martin is 1851373898 and holds a License No. 71001851A (Indiana).

The current practice location address for Sandra L Martin is 100 Navarre Pl, South Bend, IN and can be reached out via phone at 574-232-7227 and via fax at 574-232-2064. You can also correspond with Sandra L Martin through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1610).

Location: 100 Navarre Pl, South Bend, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851373898
Provider Name
Sandra L Martin
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
100 Navarre Pl, South Bend, IN, 46617-1924
Phone Number
574-232-7227
Fax Number
574-232-2064
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000742868 01 IN BCBS
200303930 05 IN
352145705 01 IN TAX ID
institution
Provider Business Practice Location Address Details
Address
100 Navarre Pl
City
South Bend
State
Indiana
Zip
46601-1156
Phone Number
574-232-7227
Fax Number
574-232-2064
person
Provider Business Mailing Address Details
Address
710 N Niles Ave
City
South Bend
State
Indiana
Zip
46617-1924
Phone Number
574-647-1610
Fax Number
574-237-6069
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71001851A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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