person
Ms. Kathleen A. Martin, NP
Obstetrics & Gynecology Nurse Practitioner in Meridian, Idaho
NPI 1164441143

Kathleen A. Martin is a Obstetrics & Gynecology Nurse Practitioner based in Boise, ID and is specialized in Obstetrics & Gynecology. Kathleen A. Martin practices in Meridian, ID and has the professional credentials of NP. The NPI Number for Kathleen A. Martin is 1164441143 and holds a License No. NP88A (Idaho).

The current practice location address for Kathleen A. Martin is 520 S Eagle Rd, Meridian, ID and can be reached out via phone at 208-884-3980 and via fax at 208-884-3979. You can also correspond with Kathleen A. Martin through the mailing address at 190 E BANNOCK ST, BOISE, ID - 83712-6241 (mailing address contact number: 208-381-2222).

Location: 520 S Eagle Rd, Meridian, ID, 83712-6241
person
Provider Profile Details
NPI Number
1164441143
Provider Name
Kathleen A. Martin
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
520 S Eagle Rd, Meridian, ID, 83712-6241
Phone Number
208-884-3980
Fax Number
208-884-3979
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
781786 01 ID DESERET
500029223 01 ID RAILROAD MEDICARE
820367722C012 01 ID TRICARE
NPNB1 01 ID BLUE CROSS OF IDAHO
820367722A010 01 ID TRICARE
000010016728 01 ID REGENCE BLUE SHIELD OF ID
000010016729 01 ID REGENCE BLUE SHIELD OF ID
805800900 05 ID
institution
Provider Business Practice Location Address Details
Address
520 S Eagle Rd
City
State
Zip
83642-6351
Phone Number
208-884-3980
Fax Number
208-884-3979
person
Provider Business Mailing Address Details
Address
520 S Eagle Rd
City
State
Zip
83642-6351
Phone Number
208-884-3980
Fax Number
208-884-3979
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
NP88A (Idaho)
Definition
Definition to come...
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