Marten, Theresa

Marten, Theresa is an individual health care provider with primary practice located at 640 Flormann Street Suite 100, Rapid City SD 57701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Marten, Theresa can be contacted via phone (605) 718-3100.

Contact Information

Primary practice address
640 Flormann Street Suite 100 Rapid City SD 57701
Phone: (605) 718-3100
Fax: (605) 718-3427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X CP000457 South Dakota

Profile Details

NPI number 1336238195
LBN Legal business name Marten, Theresa
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336238195 NPPES
South Dakota MEDICAID 6828420

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