Individual
MRS. SHADAE APRIL MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
121 E REDD RD, EL PASO, TX 79932-1981
(915) 584-8884
Mailing address
14917 LONG SHADOW AVE, EL PASO, TX 79938-3193
(210) 430-8326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1057521
TX
363LF0000X
Family Nurse Practitioner
1057521
TX
Other
Enumeration date
11/18/2021
Last updated
02/23/2023
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