National Provider Identifier

Rebecca Martin

Rebecca Martin is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Penn Yan, NY and a listed phone number of (315) 531-9102.

NPI 1003286881Penn Yan, NYFamily Nurse Practitioner

Profile Overview

NPI
1003286881
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
October 06, 2015
Last Updated
May 13, 2016

Practice Location

  • 112 Kimball Ave
  • Penn Yan, NY 14527-1816

Phone: (315) 531-9102

Mailing Address

  • PO Box 423
  • 14 Maiden Lane
  • Penn Yan, NY 14527-0423

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1003286881
Entity Type
Individual
Last Name
Martin
First Name
Rebecca
Mailing Street Address
PO Box 423
Mailing Address Line 2
14 Maiden Lane
Mailing City
Penn Yan
Mailing State
NY
Mailing ZIP Code
14527-0423
Mailing Country
US
Mailing Phone
(315) 531-9102
Mailing Fax
(315) 531-9103
Practice Street Address
112 Kimball Ave
Practice City
Penn Yan
Practice State
NY
Practice ZIP Code
14527-1816
Practice Country
US
Practice Phone
(315) 531-9102
Practice Fax
(315) 531-9103
Enumeration Date
October 06, 2015
Last Updated
May 13, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)