Kathleen A. Martin NP

NPI 1164441143 - Nurse Practitioner - 363LX0001X

NPI Details
NPI 1164441143
Gender Female
Enumeration Date 07/19/2006
Last Updated 11/10/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
520 S EAGLE RD
SUITE 3209
MERIDIAN ID, 83642-6351, US
Phone (208) 884-3980
Fax (208) 884-3979
Business Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 381-2222
Fax
Toxanomy
Taxonomy Code 363LX0001X
License State Idaho
License Number NP88A
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According to our database, Ms. Kathleen A. Martin NP NPI is 1164441143, taxonomy code is 363LX0001X and license number is NP88A, license state is located at Idaho. Kathleen A. Martin NP physically located at 520 S Eagle Rd, Meridian ID, 83642-6351. NPI Number Kathleen A. Martin NP has the Individual type.

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1164441143 NPI number is provided on an as is basis without warranty of any kind. 1164441143 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen A. Martin NP are for informational purposes only.