MEDICARE: ERIC MARTELL APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	877073	NV
2	163WG0000X	General Practice Registered Nurse	RN72791	NV
3	363LF0000X	Family Nurse Practitioner	877073	NV

General Provider Information

NPI Number	:	1316703895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC MARTELL APRN, FNP-C

Provider Business Mailing Address
First Line	:	8414 FARM RD STE 180
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-8007
Country	:	US
Telephone Number	:	702-249-7811
Fax Number	:

Provider Business Practice Location Address
First Line	:	6767 W CHARLESTON BLVD STE 150
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-9004
Country	:	US
Telephone Number	:	702-249-7811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2024
Last Update Date	:	03/03/2026

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