Individual
MRS. KATIE ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-3900
(720) 718-3902
Mailing address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 718-3900
(720) 718-3902
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0995647-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0995647-NP
CO
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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