Individual
HEIDIMAE REGINA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
MSC 09 5040 1 UNM, ALBUQUERQUE, NM 87131
(505) 620-6567
Mailing address
MSC 09 5040 1 UNM, ALBUQUERQUE, NM 87131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2024-0138
NM
Other
Enumeration date
06/26/2023
Last updated
10/28/2025
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