Individual
MS. HOLLY L MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-BC
Contact information
Practice address
500 FOOTHILL DRIVE, SLC, UT 84148
(801) 582-1565
Mailing address
1086 S 900 E, SLC, UT 84105
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
141949-8500
UT
Other
Enumeration date
06/15/2006
Last updated
03/05/2008
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