Individual
EMELIN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
NORTH HIGHWAY 159, SAN LUIS, CO 81152
(719) 672-3352
(719) 672-3638
Mailing address
NORTH HIGHWAY 159, SAN LUIS, CO 81152
(719) 672-3352
(719) 672-3638
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
66928
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500027320
TRAVELERS MEDICARE
—
01
—
840706945031
ROCKY MOUNTAIN HEALTH PLA
CO
Enumeration date
10/24/2005
Last updated
06/10/2011
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