Female

Tanya R. Martin PA-C

Physician Assistant in Omaha, NE(View on Map)

Full Name

Tanya R Martin PA-C

NPI Number

1013262112

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/16/2012

Specialties

(Taxonomies)

Code

363A00000X
363AM0700X

Primary Taxonomy

Yes
No

Licenses

State

Nebraska

License Number

1932

Contact
Information

Purpose

Mailing
Location

Address

12001 Q ST
12001 Q ST

City

Omaha
Omaha

State

NE
NE

Postal Code

68137-3542
68137-3542

Country

US
US

Telephone Number

(402) 592-0328
(402) 592-0328

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/23/2024

Provider Address

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