Coral Breanne Martinez
Nurse Practitioner - Gerontology
1600 N Grand Ave Ste 150
Pueblo
, Colorado 81003-2755
Coral Breanne Martinez
Nurse Practitioner - Gerontology
1600 N Grand Ave Ste 150
Pueblo
, Colorado 81003-2755
(719) 595-7680
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Coral Breanne Martinez
- 1600 N Grand Ave Ste 150
- Pueblo, CO
- Zip : 81003-2755
- Phone : (719) 595-7680
Second Address
- Coral Breanne Martinez
- 1600 N Grand Ave Ste 150
- Pueblo, CO
- Zip : 81003-2755
- Phone : (719) 595-7680
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | APN.0994299-NP | CO |
National Provider Identifier
| NPI | 1013486299 |
|---|---|
| Provider Name | Coral Breanne Martinez |
| First Address | Pueblo, CO 81003-2755 |
| Second Address | Pueblo, CO 81003-2755 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2018 |
| Last Update Date | 17/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.