Individual
CRISTINA DEL CARMEN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
385 PROSPECT AVE STE 204, HACKENSACK, NJ 07601-2570
(551) 996-9150
Mailing address
385 PROSPECT AVE STE 204, HACKENSACK, NJ 07601-2570
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00516400
NJ
363LF0000X
Family Nurse Practitioner
335859
NY
363LF0000X
Family Nurse Practitioner
5174861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00695941
—
NY
Enumeration date
08/18/2010
Last updated
09/22/2021
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