Individual
SHANA LYNN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 W NORTH STREET, MADRID, IA 50156-1023
(515) 795-4300
(515) 795-4145
Mailing address
1015 UNION STREET, BOONE, IA 50036-4821
(515) 248-1447
(515) 248-1440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A157506
IA
Other
Enumeration date
01/18/2020
Last updated
10/09/2024
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