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Martha L Coventry
Family Nurse Practitioner in Sister Bay, Wisconsin
NPI 1992839641

Martha L Coventry is a Family Nurse Practitioner based in Ellison Bay, WI and is specialized in Family. Martha L Coventry practices in Sister Bay, WI. The NPI Number for Martha L Coventry is 1992839641 and holds a License No. 3069 (Wisconsin).

The current practice location address for Martha L Coventry is 10539 Applewood Road, Sister Bay, WI and can be reached out via phone at 920-854-4154.

Location: 10539 Applewood Road, Sister Bay, WI, 54210-0104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992839641
Provider Name
Martha L Coventry
Credential
Provider Entity Type
Individual
Gender
Female
Address
10539 Applewood Road, Sister Bay, WI, 54210-0104
Phone Number
920-854-4154
Fax Number
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10539 Applewood Road
City
Sister Bay
State
Wisconsin
Zip
54234
Phone Number
920-854-4154
Fax Number
person
Provider Business Mailing Address Details
Address
10539 Applewood Road
City
Sister Bay
State
Wisconsin
Zip
54234
Phone Number
920-854-4154
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3069 (Wisconsin)
Definition
Definition to come...
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