Andrea N. Martin, M.D.
Obstetrics & Gynecology · Shelton, WA
UnclaimedM.D.NPI 1104189711
- Primary taxonomy
- 207V00000X
- Enumerated
- 2012-06-19
- Practice location
- Shelton, WA
- Last NPPES update
- 2017-04-03
State licenses
- WA · Physician · NPPES self-reportedListed on NPI record
- WA · Physician · Physician And Surgeon LicenseActive restrictedthrough 2027
- WA · Physician · Physician And Surgeon Temporary Permit - MDTPInactive
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.