Provider Demographics
NPI:1659567345
Name:MARTIN, CHRIS P (APRN, RN)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:P
Last Name:MARTIN
Suffix:
Gender:M
Credentials:APRN, RN
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 12848
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89510-2848
Mailing Address - Country:US
Mailing Address - Phone:775-507-2524
Mailing Address - Fax:
Practice Address - Street 1:840 I ST STE 1
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-3631
Practice Address - Country:US
Practice Address - Phone:775-507-2524
Practice Address - Fax:775-254-1197
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN7353363LF0000X
OR201907952NP-PP363LF0000X
COAPN.0995249-NP363LF0000X
UT11692664-4405363LF0000X
GARN297635363LF0000X
MTNUR-APRN-LIC-147131363LF0000X
FLAPRN11006641363LF0000X
HIAPRN-3060363LF0000X
WAAP61004299363LF0000X
TXAP138202363LF0000X
WY1776363LF0000X
CA95011954363LF0000X
AZ240018363LF0000X
ID64067363LF0000X
NV811433363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily