Basic Information
| Provider Information | |||||||||
| NPI: | 1699782169 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MARTI | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | CNP | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | MEYER | ||||||||
| OtherFirstName: | JANET | ||||||||
| OtherMiddleName: | L | ||||||||
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| OtherCredential: | CNP | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1100 E. BROADWAY | ||||||||
| Address2: | AFFILIATED COMMUNITY MEDICAL CENTERS | ||||||||
| City: | REDWOOD FALLS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 56283 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5076372985 | ||||||||
| FaxNumber: | 5076373057 | ||||||||
| Practice Location | |||||||||
| Address1: | 1100 E. BROADWAY | ||||||||
| Address2: | AFFILIATED COMMUNITY MEDICAL CENTERS | ||||||||
| City: | REDWOOD FALLS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 56283 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5076372985 | ||||||||
| FaxNumber: | 5076373057 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2006 | ||||||||
| LastUpdateDate: | 08/04/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | R087475-7 | MN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.