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Individual

MRS. CHARLOTTE ANNE MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
4501 CLEAR CREEK RD, KILLEEN, TX 76549-4218
(254) 501-6400
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1098362
TX
363LF0000X
Family Nurse Practitioner
1098362
TX

Other

Enumeration date
09/21/2023
Last updated
05/02/2025
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