# MARTENS MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982411161
- **Authorized official:** MRS. KAY MARTENS FNP-C, PMHNP-BC (MEDICAL DIRECTOR)
- **Authorized official phone:** (208) 260-0961

## Contact information

- **Practice address:** 334 E 200 S, BURLEY, ID 83318-5433
- **Practice address phone:** (208) 260-0961
- **Mailing address:** 334 E 200 S, BURLEY, ID 83318-5433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2024
- **Last updated:** 01/14/2025