Individual
MS. TRACEY MARTINEZ-MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
7430 REMCON CIR BLDG B, EL PASO, TX 79912-3525
(915) 401-8999
(888) 658-3640
Mailing address
501 N YARBROUGH DR STE A, EL PASO, TX 79915-3282
(915) 401-8999
(888) 658-3640
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP115412
TX
363LF0000X
Family Nurse Practitioner
AP115412
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187726801
—
TX
05
—
187726804
—
TX
01
—
313435YMVU
WNI
—
Enumeration date
11/30/2006
Last updated
09/30/2022
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