Individual provider · Type 1 NPI
Coral Breanne Martinez
Gerontology Nurse Practitioner · Pueblo, CO
NPI number
1013486299
Active
Practice location
1600 N Grand Ave Ste 150
Pueblo, CO 81003-2755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | APN.0994299-NP (CO) |
Gerontology Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1013486299
Coral Breanne Martinez's National Provider Identifier is 1013486299, issued on Nov 17, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Pueblo, CO. The record was last updated on Nov 17, 2018.