MRS. KATHLEEN ELLEN MARTIN IX R.N.
NPI 1578766580
Registered Nurse - Psychiatric/Mental Health in Lincoln Park, MI
Active since June 07, 2007
About Mrs. Kathleen Ellen Martin Ix R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KATHLEEN ELLEN MARTIN IX R.N. (NPI 1578766580) is an individual psychiatric/mental health provider in Lincoln Park, Michigan, licensed in Michigan (4704092451) and active in the NPI registry since June 2007.
NPPES Registry Identity
NPI1578766580
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameMRS. KATHLEEN ELLEN MARTIN IXCredential: R.N.
Location Address26184 OUTER DRLincoln Park, MI 48146-2084
Mailing Address31528 Sheridan StGarden City, MI 48135-3341 · (734) 422-1591
Phone(313) 389-7532
Fax(313) 389-2956
Sole ProprietorNo
Enumeration DateJune 7, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1578766580 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in MI · 4704092451
26184 OUTER DR, Lincoln Park, MI 48146
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Counselor (Addiction (Substance Use Disorder))
26184 OUTER DR
LINCOLN PARK, MI 48146
LINCOLN PARK, MI 48146
Counselor (Addiction (Substance Use Disorder))
26184 OUTER DR
LINCOLN PARK, MI 48146
LINCOLN PARK, MI 48146
Social Worker (Clinical)
26184 OUTER DR
LINCOLN PARK, MI 48146
LINCOLN PARK, MI 48146
Registered Nurse (Psychiatric/Mental Health, Adult)
26184 OUTER DR
LINCOLN PARK, MI 48146
LINCOLN PARK, MI 48146
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578766580, enumerated as an "individual" on June 07, 2007.
The provider is located at 26184 OUTER DR LINCOLN PARK, MI 48146 and the phone number is (313) 389-7532.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.