Individual
NICHOLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
13894 S BANGERTER PKWY STE 200, DRAPER, UT 84020-5320
(385) 454-5027
Mailing address
2175 REDHEAD DR, SPARKS, NV 89441-7873
(775) 233-4015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
880269
NV
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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