Individual
MS. MOKSHA MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(907) 250-0127
Mailing address
10909 PASQUALE DR NW, ALBUQUERQUE, NM 87114-5576
(907) 250-0127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
147969
AK
363LF0000X
Family Nurse Practitioner
Primary
83235
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020586
—
AK
Enumeration date
08/10/2019
Last updated
08/06/2025
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