Individual
LAURA MAE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN FNP-C
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(530) 712-7457
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(530) 712-7457
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18471
CA
Other
Enumeration date
10/13/2009
Last updated
06/24/2020
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