Individual
CHARLES ULICK MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
8316 ARLINGTON BLVD STE 420, FAIRFAX, VA 22031-5216
(703) 520-9703
(703) 520-9703
Mailing address
8316 ARLINGTON BLVD STE 420, FAIRFAX, VA 22031-5216
(703) 520-9703
(703) 563-9602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173453
VA
Other
Enumeration date
10/01/2013
Last updated
10/10/2025
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