| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANNE MARIE MARTIN | 1184223562 | 2022-10-19 |
Anne Marie Martin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1184223562. Registration indicates Anne Marie Martin is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Anne Marie Martin |
| Practice Office Address | 745 S GREEN VALLEY PKWY STE 160 HENDERSON, NV US |
| Practice Office Telephone | 7029401530 |
| Practice Office Fax | 7029401531 |
| Mailing Address | 6355 S BUFFALO DR FL 3 LAS VEGAS, NV 891132133 US |
| Business Telephone | 7022163346 |
| Business Fax | 7026716883 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1397 Galleria Dr Ste 100 | Henderson, NV 890146660 | 7024365800 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 1004301
TX |
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 863057
NV |
| 830573 | OTHER | NV | STATE LICENSE |
| 1184223562 | MEDICAID | NV |