Individual
NANCY A MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15507 NW 67TH AVE, MIAMI LAKES, FL 33014-2108
(305) 821-8611
(305) 821-1753
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(305) 821-8611
(305) 827-1753
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN2790812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105119200
—
FL
Enumeration date
10/10/2018
Last updated
01/17/2020
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