Individual
CONNIE L MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4600 CAPITAL BLVD, RALEIGH, NC 27604-4478
(919) 980-7008
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(919) 980-7008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 9180821
FL
Other
Enumeration date
03/02/2017
Last updated
04/28/2022
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