Individual
MS. DENISE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5018 MEDICAL CENTER CIR, SUITE 240, ALLENTOWN, PA 18106-9661
(484) 876-5649
Mailing address
5018 MEDICAL CENTER CIR, SUITE 240, ALLENTOWN, PA 18106-9661
(484) 876-5649
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP012316
PA
363LA2100X
Acute Care Nurse Practitioner
SP012316
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103181145 0001
—
PA
01
—
261399FRH
MEDICARE PTAN
PA
01
—
50113665
CAPITAL BLUE CROSS
PA
Enumeration date
10/11/2012
Last updated
11/01/2016
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