Martin, Mary Beth

Martin, Mary Beth is an individual health care provider with primary practice located at 7845 Little Ave , Charlotte NC 28226-8198. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Martin, Mary Beth can be contacted via phone (704) 375-0100.

Contact Information

Primary practice address
7845 Little Ave Charlotte NC 28226-8198
Phone: (704) 375-0100
Fax: (704) 335-3599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 135443 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 135443 North Carolina

Profile Details

NPI number 1518084532
LBN Legal business name Martin, Mary Beth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Sep 11th, 2018 - about 7 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 1518084532 NPPES
North Carolina MEDICAID 7003817

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