MRS. MARTHA KINGMAN LIBERTY N.P. NPI 1669675914

NPI Information

MRS. Martha Kingman Liberty, N.P. is an acute care nurse practitioner in Dallas, TX with 24 years of experience. MRS. Martha Kingman Liberty, N.P. NPI is 1669675914. 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:

5939 HARRY HINES BLVD
POB II SUITE 603
DALLAS, TX
ZIP 75390-001
Phone: (214) 645-5505
Fax: (214) 645-5640

The NPI 1669675914 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 6/6/2007 and was last updated on 4/17/2014.

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:

Other Identifiers

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

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