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John Dennis Martin
Psychiatric/Mental Health Registered Nurse in Provo, Utah
NPI 1871188425

John Dennis Martin is a Psychiatric/Mental Health Registered Nurse based in Provo, UT and is specialized in Psychiatric/Mental Health. John Dennis Martin practices in Provo, UT. The NPI Number for John Dennis Martin is 1871188425 and holds a License No. 47620183102 (Utah).

The current practice location address for John Dennis Martin is 750 N Freedom Blvd, Provo, UT and can be reached out via phone at 801-373-9656.

Location: 750 N Freedom Blvd, Provo, UT, 84601-1677
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871188425
Provider Name
John Dennis Martin
Credential
Provider Entity Type
Individual
Gender
Male
Address
750 N Freedom Blvd, Provo, UT, 84601-1677
Phone Number
801-373-9656
Fax Number
Provider Enumeration Date
03/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 N Freedom Blvd
City
Provo
State
Utah
Zip
84601-1677
Phone Number
801-373-9656
Fax Number
person
Provider Business Mailing Address Details
Address
750 N Freedom Blvd
City
Provo
State
Utah
Zip
84601-1677
Phone Number
801-373-9656
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
47620183102 (Utah)
Definition
Definition to come...
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