Individual
IDANIS CRUZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8915 14TH AVE S FL 3, SEATTLE, WA 98108-4813
(206) 764-4702
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61481784
WA
171M00000X
Case Manager/Care Coordinator
RN61481784
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2276330
—
WA
Enumeration date
12/04/2023
Last updated
03/24/2026
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