Martin, Kristyn L

Martin, Kristyn L is an individual health care provider with primary practice located at 910 Nw 16Th St Ste 101 , Fruitland ID 83619-2265. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Martin, Kristyn L can be contacted via phone (208) 452-8000.

Contact Information

Primary practice address
910 Nw 16Th St Ste 101 Fruitland ID 83619-2265
Phone: (208) 452-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201810671NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 60199 Idaho

Profile Details

NPI number 1982174199
LBN Legal business name Martin, Kristyn L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2018
Last updated Jan 22nd, 2019 - about 5 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 1982174199 NPPES
Oregon Other 201810671NP-PP OREGON STATE BOARD OF NURSING

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