Individual
ALYSE CHRISTINE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(055) 596-1005
(505) 559-6101
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 559-6100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
57114
NM
Other
Enumeration date
06/24/2019
Last updated
12/11/2024
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