Individual
KORI DAWN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
2301 YALE BLVD SE STE D3, ALBUQUERQUE, NM 87106-4355
(505) 842-4433
(505) 842-4436
Mailing address
2301 YALE BLVD SE STE D3, ALBUQUERQUE, NM 87106-4355
(505) 842-4433
(505) 842-4436
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56734
NM
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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