Search › Illinois › 164W00000X
Mary Anne Martin, LPN
NPI 1891109070 · on the registry since 2014 · sole proprietor
Practice
- Address
- 454 N University Dr
Rockford, IL 61107 - Phone
- (779) 772-5817
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois