MRS. SUSAN KIMBERLY MARTIN F.N.P. NPI 1578507901

NPI Information

NPI: 1578507901
Provider Name: MRS. SUSAN KIMBERLY MARTIN, F.N.P.
Classification: Registered Nurse - 163WP2201X
Entity Type: Individual

Specialization: Ambulatory Care

Address:
1002 E MCDOWELL RD
SUITE 120
PHOENIX, AZ
ZIP 85006
Phone: (602) 256-2273
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MRS. Susan Kimberly Martin, F.N.P. is an ambulatory care registered nurse in Phoenix, AZ. MRS. Susan Kimberly Martin, F.N.P. NPI is 1578507901. 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:

1002 E MCDOWELL RD
SUITE 120
PHOENIX, AZ
ZIP 85006-625
Phone: (602) 256-2273
Fax: (602) 258-5638

The enumeration date for this NPI number is 6/15/2006 and was last updated on 7/8/2007.

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	163WP2201X	Registered Nurse	Ambulatory Care	FNP AP0555	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	105314	MEDICARE ID-TYPE UNSPECIFIED	ARIZONA
2	054191	MEDICAID	ARIZONA
3	Q51620	MEDICARE UPIN	ARIZONA

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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