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Individual
MS. DENISE MARTINEZ
Active
Individual
MS. DENISE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP012316
PA
363LA2100X
Acute Care Nurse Practitioner
SP012316
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103181145 0001
—
PA
01
—
261399FRH
MEDICARE PTAN
PA
01
—
50113665
CAPITAL BLUE CROSS
PA
Enumeration date
10/11/2012
Last updated
11/01/2016
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