Individual
AIZELLE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4496
(602) 406-3000
Mailing address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-6313
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
283198
AZ
Other
Enumeration date
11/16/2022
Last updated
02/24/2023
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