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Individual

VANESSA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6160 TUTT BLVD STE 100, COLORADO SPRINGS, CO 80923-3503
(719) 473-2346
Mailing address
1933 KODIAK DR, COLORADO SPRINGS, CO 80910-1403
(719) 452-0040

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
161728
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0990741
CO

Other

Enumeration date
08/31/2006
Last updated
01/11/2023
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