Individual
RUTH MACKEY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,RN
Contact information
Practice address
875 W MORENO AVE, COLORADO SPRINGS, CO 80905-1731
(719) 572-6100
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001149284
VA
163W00000X
Registered Nurse
1-100275
AL
163W00000X
Registered Nurse
Primary
1618627
CO
163W00000X
Registered Nurse
RN170192
GA
Other
Enumeration date
10/08/2012
Last updated
10/31/2012
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