Provider Demographics
NPI:1700527793
Name:FLOWERS, MARTINDELL MONIQUE
Entity Type:Individual
Prefix:
First Name:MARTINDELL
Middle Name:MONIQUE
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARTINDELL
Other - Middle Name:MONIQUE
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND
Mailing Address - Street 1:2410 CHERRY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-5744
Mailing Address - Country:US
Mailing Address - Phone:786-750-9565
Mailing Address - Fax:
Practice Address - Street 1:185 TILLEY DR STE 49&51
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-4484
Practice Address - Country:US
Practice Address - Phone:802-860-3366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath