| Doctor Name: | DEBRA A MARTIN |
| NPI Number: | 1518344167 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | APN.0991743-NP |
| Business Practice Address: | 300 W Ottley Ave Fruita, CO - 815212118 |
| Business Phone Number: | 9702702259 |
| Business Fax Number: | 9708580798 |
| Mailing Address: | 300 W Ottley Ave, FRUITA |
| State: | CO |
| Postal Code: | 815212118 |
| Phone Number: | 9708582259 |
| Fax Number: | 9708580798 |
| NPI Enumeration Date: | 05/04/2015 |
| NPI Last Update Date: | 02/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN.0991743-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |