Individual
TERESA ANN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6203 AGENCY SQUARE LOOP, WELLPINIT, WA 99040-0357
(509) 258-4517
(509) 258-4456
Mailing address
PO BOX 357, WELLPINIT, WA 99040-0357
(509) 258-4517
(509) 258-4456
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006673
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019645
—
WA
Enumeration date
03/07/2006
Last updated
07/07/2011
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