Individual
CRYSTAL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 436-5797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1117690
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3016433
KY
Other
Enumeration date
03/26/2014
Last updated
11/03/2023
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