Martin, Karen Louise

Martin, Karen Louise is an individual health care provider with primary practice located at 6025 Lake Rd Suite 200, Woodbury MN 55125-1712. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Martin, Karen Louise can be contacted via phone (651) 999-6800.

Contact Information

Primary practice address
6025 Lake Rd Suite 200 Woodbury MN 55125-1712
Phone: (651) 999-6800
Fax: (651) 999-6830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X R115050-6 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X CNS0091 Minnesota

Profile Details

NPI number 1053320663
LBN Legal business name Martin, Karen Louise
Credentials CNS, APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Feb 11th, 2016 - about 9 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 1053320663 NPPES
Minnesota MEDICAID 924907000

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