Martin, Janell Dianne

Martin, Janell Dianne is an individual health care provider with primary practice located at 6000 Hospital Dr , Hannibal MO 63401-6887. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Martin, Janell Dianne can be contacted via phone (573) 248-1300.

Contact Information

Primary practice address
6000 Hospital Dr Hannibal MO 63401-6887
Phone: (573) 248-1300
Fax: (573) 248-5196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X SRA 100003 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 093508 Missouri

Profile Details

NPI number 1194910042
LBN Legal business name Martin, Janell Dianne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Jul 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194910042 NPPES
Colorado MEDICAID 71438530

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