Most Relevant Information
Provider Data
| NPI Number: | 1841293875 |
| Provider Name: | ANDREA SUZANNE MARTIN RN, MSN, FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 618452 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 09/26/2011 |
Provider Practice Location
8144 WALNUT HILL LN
SUITE 800
DALLAS
TX
752314388
Practice Location Phone/Fax
| Phone: | 2145400700 |
| Fax: | 2145400701 |
Provider Mailing Location
8144 WALNUT HILL LN
SUITE 800
DALLAS
TX
752314388
Provider Mailing Phone/Fax
| Phone: | 2145400700 |
| Fax: | 2145400701 |