Individual
KATRINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
11913 BLACK ALDER DR, MOSELEY, VA 23120-1582
(619) 241-0333
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
616002
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60691531
WA
Other
Enumeration date
01/27/2015
Last updated
11/20/2020
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