Individual
CHANDEL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
8100 CONSTITUTION PL NE STE 400, ALBUQUERQUE, NM 87110-7644
(505) 724-7300
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
CNP-03009
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP-3009
NM
Other
Enumeration date
09/01/2016
Last updated
02/20/2023
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