Individual
MRS. MICHELLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
200 WEST HOSPITAL ROAD, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-3522
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-3522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AZ 532
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295993376
—
AZ
05
—
1629236716
—
AZ
05
—
1780614008
—
AZ
05
—
1871523191
—
AZ
05
—
483909
—
AZ
Enumeration date
03/21/2007
Last updated
12/15/2008
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