Martinez, Coral Breanne

Martinez, Coral Breanne is an individual health care provider with primary practice located at 1600 N Grand Ave Ste 150 , Pueblo CO 81003-2755. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Martinez, Coral Breanne can be contacted via phone (719) 595-7680.

Contact Information

Primary practice address
1600 N Grand Ave Ste 150 Pueblo CO 81003-2755
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN.0994299-NP Colorado

Profile Details

NPI number 1013486299
LBN Legal business name Martinez, Coral Breanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2018
Last updated Nov 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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