Individual
KRISTY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2750 S 5600 W, WEST VALLEY CITY, UT 84120-1249
(801) 417-5732
Mailing address
1758 S LAURELHURST DR, SALT LAKE CITY, UT 84108-3310
(978) 457-5992
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9484112-4405
UT
Other
Enumeration date
08/24/2015
Last updated
03/17/2018
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