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Individual

KAREN LOUISE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNS, APRN-BC

Contact information

Practice address
6025 LAKE RD, SUITE 200, WOODBURY, MN 55125-1712
(651) 999-6800
(651) 999-6830
Mailing address
6025 LAKE RD, SUITE 200, WOODBURY, MN 55125-1712
(651) 999-6800
(651) 999-6830

Taxonomy

Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
CNS0091
MN
364S00000X
Clinical Nurse Specialist
R115050-6
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
924907000
MN
Enumeration date
08/05/2006
Last updated
02/11/2016
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