Provider Demographics
NPI:1811128473
Name:MARTIN, HILLARY (ND)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:MARTIN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1295 YELLOW PINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-2264
Mailing Address - Country:US
Mailing Address - Phone:303-545-2021
Mailing Address - Fax:303-545-2003
Practice Address - Street 1:1295 YELLOW PINE AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-2264
Practice Address - Country:US
Practice Address - Phone:303-545-2021
Practice Address - Fax:303-545-2003
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000091175F00000X
CAND-391175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath