Individual
MRS. NICOLE ANNE MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R1236598
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05F16KE
BLUE CROSS
MN
01
—
1212418
MEDICA
MN
01
—
123675
UCARE
MN
Enumeration date
03/10/2006
Last updated
07/09/2007
Update your record
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