Individual
KATIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
712 S CASCADE ST, FERGUS FALLS, MN 56537-2913
(218) 736-8000
Mailing address
5142 40TH ST S, MOORHEAD, MN 56560-7516
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6742
MN
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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