Individual
MRS. CATHERINE ANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
10705 TOWN SQUARE DR NE, BLAINE, MN 55449-8184
(763) 236-5400
Mailing address
8547 121ST AVE N, CHAMPLIN, MN 55316-2054
(763) 300-3554
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
159406-5
MN
363LF0000X
Family Nurse Practitioner
Primary
159406-5
MN
Other
Enumeration date
05/19/2008
Last updated
03/11/2021
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