Provider Demographics
NPI:1902262611
Name:MARTIN, MARIAH STONE (BSN, MSN, ACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MARIAH
Middle Name:STONE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:BSN, MSN, ACNP-BC
Other - Prefix:MISS
Other - First Name:MARIAH
Other - Middle Name:STONE
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, MSN, ACNP-BC
Mailing Address - Street 1:777 BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4597
Mailing Address - Country:US
Mailing Address - Phone:303-602-3899
Mailing Address - Fax:303-602-3902
Practice Address - Street 1:777 BANNOCK ST # MC3240
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4597
Practice Address - Country:US
Practice Address - Phone:303-436-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP93581071363LA2100X
WAAP60594755363LA2100X
GARN288825363LA2100X
TXAP122907363LA2100X
COC-APN.0100661-C-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care