Maria Ravkatovna Martin
Maria Ravkatovna Martin is a Nurse Practitioner in St. Louis, Missouri. Qualified in 2022, 4 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 4
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
1201 Grant BlvdSt. Louis, MO 63104
Phone: (314) 257-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence RN252454 (GA) |
|---|
Record details
| NPI number | 1417670449 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 23, 2022 |
| Last updated in NPPES | September 23, 2022 |
| Certification date | September 23, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Ssm Health Care Group — 923 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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