Provider Demographics
NPI:1447025176
Name:MARTIN, ERIN ANN (APRN CNM)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ANN
Last Name:MARTIN
Suffix:
Gender:F
Credentials:APRN CNM
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:ANN
Other - Last Name:MCILVAINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN CNM
Mailing Address - Street 1:7438 SANTA FE DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-1947
Mailing Address - Country:US
Mailing Address - Phone:417-438-0013
Mailing Address - Fax:
Practice Address - Street 1:4000 CAMBRIDGE ST OBGYN DEPARTMENT
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-1227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-22
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS82692367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife