Individual
STEPHANIE ANNE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1136 E STUART ST STE 4202, FORT COLLINS, CO 80525-1193
(970) 344-8474
(949) 864-3755
Mailing address
1136 E STUART ST STE 4202, FORT COLLINS, CO 80525-1193
(970) 344-8474
(949) 864-3755
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0994769
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0994769-NP
CO
Other
Enumeration date
06/21/2019
Last updated
09/02/2025
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