Individual
MRS. MARILYN A MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
340 GATEWAY DR, SLIDELL, LA 70461-5540
(985) 646-6540
(985) 646-6588
Mailing address
19220 E.T. LANE, COVINGTON, LA 70435
(985) 892-2585
(985) 646-6588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN027127
LA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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