Individual
COURTNEY ANN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
434 SW WILSHIRE BLVD, BURLESON, TX 76028
(817) 447-1208
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP137986
TX
363LF0000X
Family Nurse Practitioner
AP137986
TX
Other
Enumeration date
07/11/2018
Last updated
08/24/2018
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