Individual
JAMIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 242-4644
(505) 242-3531
Mailing address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 242-4644
(505) 242-3531
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-77425
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8 5 0 3 6 8 9 9 3
EMPLOYER IDENIFICATION NUMBER
NM
Enumeration date
03/01/2016
Last updated
03/01/2016
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