Individual
CATHERINE CARTER MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1408 44TH AVE, GULFPORT, MS 39501-2554
(228) 575-1777
(228) 867-4123
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904729
MS
Other
Enumeration date
08/06/2021
Last updated
10/18/2021
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