Mrs Kristine Louise Martin, APRN-CNP | |
107 12th St S, Cooperstown, ND 58425-4501 | |
(701) 786-1700 | |
(701) 786-7122 |
Full Name | Mrs Kristine Louise Martin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 107 12th St S, Cooperstown, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164245445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 201116 (North Dakota) | Primary |
Entity Name | Cooperstown Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962548214 PECOS PAC ID: 5698687689 Enrollment ID: O20040203000722 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristine Louise Martin, APRN-CNP 113 3rd Ave Ne, Mayville, ND 58257-1220 Ph: (701) 430-3429 | Mrs Kristine Louise Martin, APRN-CNP 107 12th St S, Cooperstown, ND 58425-4501 Ph: (701) 786-1700 |
Dr. Amanda Leigh Perry, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 665 112th Ave Ne, Cooperstown, ND 58425 Phone: 601-870-0774 Fax: 701-797-3328 | |
Debra L. Middleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Roberts Ave Ne, Cooperstown, ND 58425 Phone: 701-797-2221 Fax: 701-797-2457 | |
Kevin S Jacobson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Roberts Ave Ne, Cooperstown Medical Center, Cooperstown, ND 58425 Phone: 701-797-2128 | |
Mr. Norman Leo Berthiaume, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Roberts Ave Ne, Cooperstown, ND 58425 Phone: 701-797-2221 Fax: 701-797-2457 |