Provider Demographics
NPI:1629942685
Name:MARTIN, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MARTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 91ST ST NW
Mailing Address - Street 2:
Mailing Address - City:NEWBURG
Mailing Address - State:ND
Mailing Address - Zip Code:58762-9756
Mailing Address - Country:US
Mailing Address - Phone:701-263-2024
Mailing Address - Fax:
Practice Address - Street 1:750 91ST ST NW
Practice Address - Street 2:
Practice Address - City:NEWBURG
Practice Address - State:ND
Practice Address - Zip Code:58762-9756
Practice Address - Country:US
Practice Address - Phone:701-263-2024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care