Individual
TREVOR MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, CRNA
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3777
Mailing address
1638 GARDEN TER, CHARLOTTE, NC 28203-5836
(480) 868-6834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001308001
VA
163W00000X
Registered Nurse
318587
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024183353
VA
Other
Enumeration date
07/13/2021
Last updated
01/11/2022
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