Individual
AUTUMN MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,FNP
Contact information
Practice address
900 CEDAR ST, JULESBURG, CO 80737-1121
(970) 353-9403
(970) 353-9906
Mailing address
900 CEDAR ST, JULESBURG, CO 80737-1121
(970) 353-9403
(970) 353-9906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP10050
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84427060
—
CO
Enumeration date
07/27/2009
Last updated
05/10/2016
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