Individual
BRANDON REY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP-BC, APRN
Contact information
Practice address
2120 ALPINE BLVD, ALPINE, CA 91901-2113
(702) 526-7610
Mailing address
6545 TIMBER POINT ST, LAS VEGAS, NV 89148-4297
(702) 526-7610
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
825008
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95022290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825008
NEVADA APRN LICENSE
NV
01
—
95022290
CALIFORNIA NURSE PRACTITIONER AND NURSE PRACTITIONER FURNISHING/PRESCRIBING LIC.
CA
01
—
CS29727
NEVADA BOARD OF PHARMACY
NV
Enumeration date
12/13/2019
Last updated
06/12/2024
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