Provider Demographics
NPI:1396555074
Name:MARTIN, CAMI COPIER (APRN)
Entity type:Individual
Prefix:
First Name:CAMI
Middle Name:COPIER
Last Name:MARTIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CAMI
Other - Middle Name:
Other - Last Name:COPIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1552 S 910 W
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:UT
Mailing Address - Zip Code:84651-3215
Mailing Address - Country:US
Mailing Address - Phone:801-319-5368
Mailing Address - Fax:
Practice Address - Street 1:15 S 1000 E STE 125
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-5593
Practice Address - Country:US
Practice Address - Phone:801-465-2559
Practice Address - Fax:801-798-8513
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-13
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10382650-4405363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health