| Ms Deborah Christine Martin, RNC, NNP | |
|
9515 Holy Cross Ln, Breese, IL 62230-3618 | |
| (618) 526-4511 | |
| Not Available |
| Full Name | Ms Deborah Christine Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Neonatal |
| Location | 9515 Holy Cross Ln, Breese, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639384506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LN0005X | Nurse Practitioner - Neonatal, Critical Care | 112468 (Missouri) | Secondary |
| 363LN0000X | Nurse Practitioner - Neonatal | 209012640 (Illinois) | Primary |
| Entity Name | Ssm Health Care St Louis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
| Entity Name | Ssm Cardinal Glennon Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174577670 PECOS PAC ID: 7012828163 Enrollment ID: O20031231000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Deborah Christine Martin, RNC, NNP 125 Jardin Cercle, Highland, IL 62249-4708 Ph: (618) 978-8174 | Ms Deborah Christine Martin, RNC, NNP 9515 Holy Cross Ln, Breese, IL 62230-3618 Ph: (618) 526-4511 |
Emily Rhoades, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 Fax: 618-526-7313 | |
Kelsey L Mueller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 | |
Ms. Alexis Ann Mcallister, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 Fax: 618-526-7313 | |
Clare R Arentsen, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 | |
Angela Dawn Herndon, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 397 North Plum Street, Breese, IL 62230 Phone: 618-526-4700 Fax: 618-566-7121 | |
Mrs. Kara Ann Huegen, AGNP-C, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-206-2082 | |
Meghan M Ziegler, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9401 Holy Cross Ln Ste 112, Breese, IL 62230 Phone: 618-526-7271 |