Individual
MRS. KRISTINE LOUISE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
107 12TH ST S, COOPERSTOWN, ND 58425-4501
(701) 786-1700
(701) 786-7122
Mailing address
113 3RD AVE NE, MAYVILLE, ND 58257-1220
(701) 430-3429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201116
ND
Other
Enumeration date
11/05/2024
Last updated
05/14/2025
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