IndividualActive
Breanne Martin
NPI 1649058058 · Physician Assistant · Maryland Heights, MO
Provider details
- NPI number
- 1649058058
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2266 Westglen Park Dr
Maryland Heights, MO 63043-4014
Phone: (636) 487-7589
Approximate (ZIP-level) locationGet directions
Mailing address
2266 Westglen Park Dr
Maryland Heights, MO 63043-4014
Registry dates
- Enumerated
- 2023-09-18
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.