Individual
MS. SUSAN CHIYO MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
260 S KIPLING ST, LAKEWOOD, CO 80226-1086
(303) 239-7171
Mailing address
9362 DESERT WILLOW WAY, HIGHLANDS RANCH, CO 80129-5743
(303) 791-9607
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
58569
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07585698
—
CO
Enumeration date
10/04/2006
Last updated
07/08/2007
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