Individual
MS. MARY KATHLEEN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4425 JUAN TABO BLVD NE STE 112, ALBUQUERQUE, NM 87111-2684
(505) 503-6800
(866) 530-1835
Mailing address
4425 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-2681
(505) 503-6800
(866) 530-1835
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-62222
NM
Other
Enumeration date
12/08/2020
Last updated
06/25/2025
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