Most Relevant Information
Provider Data
| NPI Number: | 1003257874 |
| Provider Name: | CONSTANCE MARIE MARTIN CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP2300X |
| Specialty: | Nurse Practitioner |
| License Number: | COA.14817-NP |
Most Important Dates
| Enumeration Date: | 07/09/2013 |
| Last Updated: | 07/29/2013 |
Provider Practice Location
3333 BURNET AVE
ML 2018
CINCINNATI
OH
452293026
Practice Location Phone/Fax
| Phone: | 5136364355 |
| Fax: | 5136368133 |
Provider Mailing Location
3333 BURNET AVE
ML 2018
CINCINNATI
OH
452293026
Provider Mailing Phone/Fax
| Phone: | 5136364355 |
| Fax: | 5136368133 |