MARY A MARTIN NP BC NPI 1609313311

NPI Information

NPI: 1609313311
Provider Name: MARY A MARTIN NP BC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
10430 HADDINGTON DR NW
CHARLOTTE, NC
ZIP 28269
Phone: (704) 200-1122
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MARY A MARTIN NP BC is an adult mental health clinic center in Charlotte, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MARY A MARTIN NP BC NPI is 1609313311. The provider is registered as an organization entity type.

The provider's business location address is:

10430 HADDINGTON DR NW
CHARLOTTE, NC
ZIP 28269-955
Phone: (704) 200-1122
Fax: (704) 464-1781

The provider's authorized official is Mary Ann Martin .
The authorized official title is Psychiatric Nurse Practitioner Owne and has the following contact phone number (704) 200-1122.

The enumeration date for this NPI number is 1/20/2017 and was last updated on 1/20/2017.

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	261QM0850X	Clinic/Center	Adult Mental Health	5002313	NORTH CAROLINA	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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