MIA CARROLL MARTIN RN CPNP NPI 1508104001

NPI Information

NPI: 1508104001
Provider Name: MIA CARROLL MARTIN, RN, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1935 MEDICAL DISTRICT DR
CHILDREN'S MEDICAL CENTER
DALLAS, TX
ZIP 75235
Phone: (806) 786-3781
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Mia Carroll Martin, RN, CPNP is a pediatrics nurse practitioner in Dallas, TX. Mia Carroll Martin, RN, CPNP NPI is 1508104001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1935 MEDICAL DISTRICT DR
CHILDREN'S MEDICAL CENTER
DALLAS, TX
ZIP 75235-701
Phone: (806) 786-3781

The NPI 1508104001 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/18/2013 and was last updated on 8/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	720959	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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