Healthcare Provider Details

I. General information

NPI: 1437368925
Provider Name (Legal Business Name): SHARON MARIE MARTIN MS, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 12/13/2022
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15101 E ILIFF AVE STE 140
AURORA CO
80014-4548
US

IV. Provider business mailing address

13674 W 86TH DR
ARVADA CO
80005-5852
US

V. Phone/Fax

Practice location:
  • Phone: 720-878-7055
  • Fax: 720-390-5188
Mailing address:
  • Phone: 303-639-9812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0996463-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: