Martens, Nicole Anne
Martens, Nicole Anne is an individual health care provider with primary practice located at 17705 Hutchins Dr , Minnetonka MN 55345-4145. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Martens, Nicole Anne can be contacted via phone (952) 401-8300.Contact Information
Primary practice address
17705 Hutchins Dr
Minnetonka MN 55345-4145
Phone: (952) 401-8300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | R1236598 | Minnesota |
Profile Details
| NPI number | 1639147192 |
|---|---|
| LBN Legal business name | Martens, Nicole Anne |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639147192 | NPPES |
| Minnesota | Other | 1212418 | MEDICA |
| Minnesota | Other | 123675 | MEDICA |
| Minnesota | Other | 05F16KE | MEDICA |
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