Individual
JONATHAN ROBERT MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
6303 E TANQUE VERDE RD STE 311, TUCSON, AZ 85715-3857
(520) 703-8718
(520) 844-3398
Mailing address
333 N WILMOT RD STE 340, TUCSON, AZ 85711-2607
(520) 703-8718
(520) 844-3398
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
287253
AZ
363LA2100X
Acute Care Nurse Practitioner
287253
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139764
—
AZ
01
—
Z298147
MEDICARE
AZ
Enumeration date
12/12/2022
Last updated
11/16/2025
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