Individual
HEIDI MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10707 W CAMELBACK RD, PHOENIX, AZ 85037-5073
(623) 872-5316
Mailing address
10707 W CAMELBACK RD, PHOENIX, AZ 85037-5073
(623) 872-5316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9996
AZ
Other
Enumeration date
03/21/2017
Last updated
03/17/2018
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