Individual
TIFFANY M MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
11 BACK RD, PLEASANT POINT, ME 04667-4119
(207) 853-0644
(336) 864-2830
Mailing address
11 BACK RD, PLEASANT POINT, ME 04667-4119
(207) 853-0644
(336) 864-2830
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP141057
ME
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
CNP141057
ME
Other
Enumeration date
09/10/2014
Last updated
08/13/2024
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