CARISSA REANNA MARTINEZ

BOULDER, CO
NPI1982126595
Former NameCARISSA REANNA LOPEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CO  0993330-NP)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CO  0200426)
363LF0000X Nurse Practitioner, Family
(Licence: CO  APN.0993330-NP)
Enumeration Date2017-07-14
Last Update Date2023-06-16
Business Address
CARISSA REANNA MARTINEZ FNP
4800 BASELINE RD STE D106
BOULDER, CO 80303-2643
Phone number: 303-499-4800
Mailing Address
CARISSA REANNA MARTINEZ FNP
4800 BASELINE RD STE D106
BOULDER, CO 80303-2643
Phone number: 303-499-4800