Individual
ALICIA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
32000 NORTHWESTERN HWY STE 165, FARMINGTON HILLS, MI 48334-1568
(248) 289-8874
(351) 207-4647
Mailing address
32000 NORTHWESTERN HWY STE 165, FARMINGTON HILLS, MI 48334-1568
(248) 289-8874
(351) 207-4647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.429993
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704352772
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0036525
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704352774
MI
Other
Enumeration date
09/12/2019
Last updated
03/15/2025
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