Most Relevant Information
Provider Data
| NPI Number: | 1003428616 |
| Provider Name: | CORALYN MARTIN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 115505 |
Most Important Dates
| Enumeration Date: | 08/17/2020 |
| Last Updated: | 08/17/2020 |
Provider Practice Location
180 10TH ST SE STE 201
LE MARS
IA
510312557
Practice Location Phone/Fax
| Phone: | 7125464624 |
| Fax: | 7125469395 |
Provider Mailing Location
PO BOX 70
LE MARS
IA
510310070
Provider Mailing Phone/Fax
| Phone: | 7125464624 |
| Fax: | 7125469395 |