Provider Demographics
NPI:1225431331
Name:MARTIN, MARIE STRICKLAND (MSN, APRN, CCNS)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:STRICKLAND
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MSN, APRN, CCNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-4865
Mailing Address - Country:US
Mailing Address - Phone:912-398-6671
Mailing Address - Fax:
Practice Address - Street 1:5454 REYNOLDS STREET
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405
Practice Address - Country:US
Practice Address - Phone:912-819-8407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-02
Last Update Date:2020-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN113181163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse