| Ms Laura Lee Martin, FNP | |
|
925 2nd Ave, Monte Vista, CO 81144-1432 | |
| (719) 852-2512 | |
| (719) 852-3923 |
| Full Name | Ms Laura Lee Martin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 925 2nd Ave, Monte Vista, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598304438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0995242-NP (Colorado) | Primary |
| Entity Name | Valley-wide Health Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790998953 PECOS PAC ID: 5991609067 Enrollment ID: O20031120000673 |
| Entity Name | Southern Colorado Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613554 PECOS PAC ID: 4284524067 Enrollment ID: O20040316001277 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Laura Lee Martin, FNP 925 2nd Ave, Monte Vista, CO 81144-1432 Ph: (719) 852-2512 | Ms Laura Lee Martin, FNP 925 2nd Ave, Monte Vista, CO 81144-1432 Ph: (719) 852-2512 |
Jackie Dawn Bennett, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Chico Ct, Monte Vista, CO 81144 Phone: 719-852-9400 Fax: 719-852-9311 | |
Dr. Vanessa Elizabeth Zwegers, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 925 2nd Ave, Monte Vista, CO 81144 Phone: 719-582-2512 Fax: 719-852-3923 |