MIRENDA MARTIN APRN NPI 1407209075

NPI Information

  • NPI: 1407209075
  • Provider Name: MIRENDA MARTIN, APRN
  • Classification: Clinical Nurse Specialist - 364SF0001X
  • Specialization: Family Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 507 N MAIN STREET
    SALEM FAMILY CLINIC 507 N MAIN STREET
    SALEM, AR
    ZIP 72576
  • Phone: (870) 895-2541

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NPI Details

Mirenda Martin, APRN is a family health clinical nurse specialist in Salem, AR. Mirenda Martin, APRN NPI is 1407209075. 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:

507 N MAIN STREET
SALEM FAMILY CLINIC 507 N MAIN STREET
SALEM, AR
ZIP 72576
Phone: (870) 895-2541

The NPI 1407209075 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 7/19/2016 and was last updated on 7/19/2016.

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
1364SF0001XClinical Nurse SpecialistFamily HealthA004739ARKANSASYes

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: 11/21/2025

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