Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Clyde Donald Martin Jr., CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1184604670

Mr. Clyde Donald Martin Jr., CRNA is a Certified Registered Nurse Anesthetist in Manchester, New Hampshire. Licensed in North Carolina and Virginia. Registered with an NPI since 2006.

Licensed in
NC, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

87 McGregor St Ste 1400
Manchester, NH 03102-3765
Phone: (603) 647-9325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4017 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 0024166498 (VA)

Record details

NPI number1184604670
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 19, 2006
Last updated in NPPESJune 4, 2021
Certification dateJune 3, 2021

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