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MRS. MARTHA SANDERS APN

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1205996758

Individual Registrant:
MRS. MARTHA  SANDERS APN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
125 OAK ST  COTTON PLANT, AR 72036-5089 US
Tel: 870-459-3588  Fax: 870-459-3906

Contact information for business:
PO BOX 497 623 N 9TH STREET AUGUSTA, AR 72006 US
Tel: 870-347-3300  Fax: 870-347-3492

Registration Information:
NPI: 1205996758
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
ARA01500

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
165030758AR05




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