Individual
CRISTINA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CENTERPOINT DR STE 215, MIDDLETOWN, CT 06457-7568
(888) 964-6681
(888) 662-0859
Mailing address
625 CLARK AVE, BRISTOL, CT 06010-4068
(860) 583-7700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5952
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
5952
CT
363LP2300X
Primary Care Nurse Practitioner
5952
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5952
LICENSE
CT
Enumeration date
10/28/2014
Last updated
09/11/2023
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