Van Der Mersch, Martha S
Van Der Mersch, Martha S is an individual health care provider with primary practice located at 2855 Valmont Rd , Boulder CO 80301-1309. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Van Der Mersch, Martha S can be contacted via phone (303) 442-5160.Contact Information
Primary practice address
2855 Valmont Rd
Boulder CO 80301-1309
Phone: (303) 442-5160
Fax: (303) 440-8769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 64281 | Colorado |
Profile Details
| NPI number | 1285850628 |
|---|---|
| LBN Legal business name | Van Der Mersch, Martha S |
| Credentials | Registered Nurse Certified (RNC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285850628 | NPPES |
| Colorado | MEDICAID | 07642812 |
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