Provider Demographics
NPI:1467573444
Name:MARTEL, MONIQUE M (NP)
Entity Type:Individual
Prefix:MS
First Name:MONIQUE
Middle Name:M
Last Name:MARTEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7261 S BROADWAY STE 101B
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-8017
Mailing Address - Country:US
Mailing Address - Phone:303-788-0980
Mailing Address - Fax:303-788-0806
Practice Address - Street 1:7261 S BROADWAY STE 101B
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-8017
Practice Address - Country:US
Practice Address - Phone:303-788-0980
Practice Address - Fax:303-788-0806
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO58173363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily