Individual
MIRTZA MARTINEZ SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
501 ROBERT BLVD, SLIDELL, LA 70458-1667
(866) 530-6111
Mailing address
315 WESTBANK EXPY, GRETNA, LA 70053-5616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224799
LA
Other
Enumeration date
04/13/2022
Last updated
01/13/2023
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