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NPI Code Detail

MEDICARE: LENAYA MARIE MARTIN FNP-C

MEDICARE: LENAYA MARIE MARTIN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner44539WY
2363L00000XNurse PractitionerAPN.0995945-NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407493216
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENAYA MARIE MARTIN FNP-C
Provider Business Mailing Address
First Line : 214 4TH ST
Second Line :
City : KREMMLING
State : CO
Zip : 80459
Country : US
Telephone Number : 970-724-3442
Fax Number :
Provider Business Practice Location Address
First Line : 1950 REDTAIL HAWK DR
Second Line :
City : ESTES PARK
State : CO
Zip : 80517-9780
Country : US
Telephone Number : 303-698-2753
Fax Number : 970-577-3464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2019
Last Update Date : 05/13/2026

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Directions to “ LENAYA MARIE MARTIN FNP-C” Practice Location

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