Individual
MARIO P MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1075 S CURTIS RD, SUITE 200, BOISE, ID 83706-1350
(208) 367-8333
(208) 367-2003
Mailing address
3340 EAST GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-817A
ID
363L00000X
Nurse Practitioner
NP817A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80705880
—
ID
05
—
807746300
—
ID
Enumeration date
05/22/2007
Last updated
03/17/2026
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