Individual
KENDRA MANZONI MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1780 NW MYHRE RD STE 1220, SILVERDALE, WA 98383-8676
(360) 698-4500
(360) 698-6960
Mailing address
17408 HALLMAN RD NW, POULSBO, WA 98370-8264
(253) 820-0271
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP61436670
WA
363LF0000X
Family Nurse Practitioner
AP61436670
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2281232
—
WA
Enumeration date
03/24/2022
Last updated
08/15/2024
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