Stephanie Martin

NPI 1386412013 · on the registry since 2023

Practice

Address: 1 Bronze Pointe Blvd Ste 2a
Swansea, IL 62226
Phone: (833) 587-1784
Organisation at this address: Moonlight Pediatrics Llc
Interventional Pain Medicine Llc
Gateway Professional Services, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 34

Registry record

Primary taxonomy: 225X00000X
225X00000X
Also registered as: 106S00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-01-31

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