Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESHAE MARTIN, NURSE PRACTITIONER
Active Sole ProprietorCommunity Health Nurse Practitioner · BRANDON, FL
Registration Details
- NPI Number
- 1861945719
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 27, 2016 (9.7628285319748 yrs)
- Last Updated
- Aug 16, 2021
- Licenses
-
9303768 (FL)9303768 (FL)9303768 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 LITHIA PINECREST RD STE BBRANDON, FL, 335115300Browse FL providers · Browse ZIP 33511
- Phone
- 8136795122
- Primary Specialty
-
Community Health Nurse Practitioner
363LC1500X
- Additional Specialty
- Clinical & Laboratory Immunology
- Additional Specialty
- Community Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.