Healthcare Provider Details

I. General information

NPI: 1588823504
Provider Name (Legal Business Name): DEBRA SUE MARTIN MS FNPBC, WHNPBC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST STE N
DENVER CO
80203-1859
US

IV. Provider business mailing address

765 W PEAKVIEW AVE
LITTLETON CO
80120-3473
US

V. Phone/Fax

Practice location:
  • Phone: 970-638-2400
  • Fax: 726-227-6750
Mailing address:
  • Phone: 720-331-7249
  • Fax: 726-227-6750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP5735
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN108982
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: