Most Relevant Information
Provider Data
| NPI Number: | 1003638545 |
| Provider Name: | TIMOTHY MARTIN DNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 884137 |
Most Important Dates
| Enumeration Date: | 10/28/2024 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
245 SWEET SPOT ST
HENDERSON
NV
890747633
Practice Location Phone/Fax
| Phone: | 7023247702 |
| Fax: |
Provider Mailing Location
245 SWEET SPOT ST
HENDERSON
NV
890747633
Provider Mailing Phone/Fax
| Phone: | 7023247702 |
| Fax: |