# MRS. NICOLE ANNE MARTENS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639147192
- **Gender:** F
- **Credential:** CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | R1236598 | MN | Yes |

## Other

- **Enumeration date:** 03/10/2006
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05F16KE | BLUE CROSS | MN |
| 01 | — | 1212418 | MEDICA | MN |
| 01 | — | 123675 | UCARE | MN |