Individual
HEATHER MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 882-2568
Mailing address
15399 AUDRAIN ROAD 210, CENTRALIA, MO 65240-6201
(210) 749-5699
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016021271
MO
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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