MARY ANNE MARTIN LPN
NPI 1891109070
Licensed Practical Nurse in Rockford, IL

Active since June 16, 2014
454 N UNIVERSITY DR, ROCKFORD, IL 61107(779) 772-5817 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Anne Martin Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ANNE MARTIN LPN (NPI 1891109070) is an individual licensed practical nurse in Rockford, Illinois, licensed in Wisconsin (316426) and active in the NPI registry since June 2014.

NPPES Registry Identity

NPI1891109070
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMARY ANNE MARTINCredential: LPN
Location Address454 N UNIVERSITY DRRockford, IL 61107-5323
Mailing Address454 N University DrRockford, IL 61107-5323 · (779) 772-5817
Sole ProprietorYes
Enumeration DateJune 16, 2014
NPI 1891109070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in WI · 316426
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

454 N UNIVERSITY DR, Rockford, IL 61107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Anne Martin's NPI number?

The NPI number for Mary Anne Martin is 1891109070. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Mary Anne Martin located?

Mary Anne Martin practices at 454 N University Dr, Rockford, IL 61107. The listed phone number is (779) 772-5817.

What is Mary Anne Martin's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mary Anne Martin was last updated on June 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.