Individual
MS. ANGELA CHRISTINE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
17561 HIGHWAY B, BOONVILLE, MO 65340
(660) 882-4140
Mailing address
17651 HIGHWAY B, BOONVILLE, MO 65233-2839
(660) 882-4140
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2010004413
MO
363L00000X
Nurse Practitioner
2010004413
MO
363LF0000X
Family Nurse Practitioner
Primary
20100004413
MO
Other
Enumeration date
02/10/2010
Last updated
03/26/2018
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