Individual
NATHAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11693 S 700 E, DRAPER, UT 84020-7571
(385) 485-6660
Mailing address
11693 S 700 E, DRAPER, UT 84020-7571
(385) 485-6660
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9390346-4405
UT
Other
Enumeration date
07/11/2022
Last updated
08/10/2023
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