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Individual
CRISSY MARTINEZ
Active
Individual
CRISSY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041409507
IL
163W00000X
Registered Nurse
Primary
111955930
WI
163WH0200X
Home Health Registered Nurse
1119559
WI
251E00000X
Home Health Agency
Primary
041409507
IL
Other
Enumeration date
07/17/2014
Last updated
04/13/2026
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