person
Mildred Louise Martin, RN,MSN,MA,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Conroy, South Carolina
NPI 1942267703

Mildred Louise Martin is a Psychiatric/Mental Health Nurse Practitioner based in Conway, SC and is specialized in Psychiatric/Mental Health. Mildred Louise Martin practices in Conroy, SC and has the professional credentials of RN,MSN,MA,PMHNP-BC. The NPI Number for Mildred Louise Martin is 1942267703 and holds a License No. 000720 (South Carolina).

The current practice location address for Mildred Louise Martin is 164 Waccamaw Medical Park Dr, Conroy, SC and can be reached out via phone at 843-347-4888 and via fax at 843-347-4102.

Location: 164 Waccamaw Medical Park Dr, Conroy, SC, 29526-8903
person
Provider Profile Details
NPI Number
1942267703
Provider Name
Mildred Louise Martin
Credential
RN,MSN,MA,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
164 Waccamaw Medical Park Dr, Conroy, SC, 29526-8903
Phone Number
843-347-4888
Fax Number
843-347-4102
Provider Enumeration Date
04/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
327877 05 SC
institution
Provider Business Practice Location Address Details
Address
164 Waccamaw Medical Park Dr
City
State
Zip
29526
Phone Number
843-347-4888
Fax Number
843-347-4102
person
Provider Business Mailing Address Details
Address
164 Waccamaw Medical Park Dr
City
State
Zip
29526
Phone Number
843-347-4888
Fax Number
843-347-4102
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
000720 (Nevada)
Definition
Definition to come...
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