Mrs Michelle Elaine Martin, LPN | |
1515 Hommen Rd, Deerfield, WI 53531-9678 | |
(608) 444-0774 | |
Not Available |
Full Name | Mrs Michelle Elaine Martin |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 1515 Hommen Rd, Deerfield, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295495802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 301758 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Michelle Elaine Martin, LPN 175 Waterloo St, Columbus, WI 53925-1764 Ph: (608) 695-0594 | Mrs Michelle Elaine Martin, LPN 1515 Hommen Rd, Deerfield, WI 53531-9678 Ph: (608) 444-0774 |
Mrs. Nicole Lynn Deon, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1515 Hommen Rd, Deerfield, WI 53531 Phone: 608-444-0774 | |
Cynthia Reyna, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1515 Hommen Rd, Deerfield, WI 53531 Phone: 608-444-0774 |