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Elissa E Martin, CNP
Family Nurse Practitioner in Anna, Ohio
NPI 1982654653

Elissa E Martin is a Family Nurse Practitioner based in Sidney, OH and is specialized in Family. Elissa E Martin practices in Anna, OH and has the professional credentials of CNP. The NPI Number for Elissa E Martin is 1982654653 and holds a License No. COA-08452-NP (Ohio).

The current practice location address for Elissa E Martin is 104 Diamond Drive, Anna, OH and can be reached out via phone at 937-394-2900 and via fax at 937-394-3602.

Location: 104 Diamond Drive, Anna, OH, 45365-2401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982654653
Provider Name
Elissa E Martin
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
104 Diamond Drive, Anna, OH, 45365-2401
Phone Number
937-394-2900
Fax Number
937-394-3602
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2622782 05 OH
institution
Provider Business Practice Location Address Details
Address
104 Diamond Drive
City
Anna
State
Ohio
Zip
45302
Phone Number
937-394-2900
Fax Number
937-394-3602
person
Provider Business Mailing Address Details
Address
104 Diamond Drive
City
Anna
State
Ohio
Zip
45302
Phone Number
937-394-2900
Fax Number
937-394-3602
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
COA-08452-NP (Ohio)
Definition
Definition to come...
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