Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 1026662 | TX |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 172404 | CO |
NPI | 1265604797 |
---|---|
Provider Name | Dawn Martin |
First Address | Denver, CO 80230-6700 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2008 |
Last Update Date | 26/01/2021 |