Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APN.0996732-NP | CO |
NPI | 1003431669 |
---|---|
Provider Name | Sarah Martin |
First Address | Golden, CO 80401-6953 |
Second Address | Denver, CO 80221-8926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2020 |
Last Update Date | 20/09/2021 |