Individual
MS. MARTHA S VAN DER MERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
2855 VALMONT RD, BOULDER, CO 80301-1309
(303) 442-5160
(303) 440-8769
Mailing address
840 QUINCE AVE, BOULDER, CO 80304-0746
(303) 444-0670
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
64281
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07642812
—
CO
Enumeration date
04/17/2007
Last updated
07/08/2007
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