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NPI Code Detail

MEDICARE: ROSA AMADA MARTINEZ MSN, FNP-BC

MEDICARE: ROSA AMADA MARTINEZ MSN, FNP-BC
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
1363LF0000XFamily Nurse Practitioner684446TX
2363LF0000XFamily Nurse PractitionerAP123964TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP123964OTHERTXFNP LICENSE #

General Provider Information

NPI Number : 1588006308
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA AMADA MARTINEZ MSN, FNP-BC
Provider Business Mailing Address
First Line : 7841 ARMSTRONG DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78413-6214
Country : US
Telephone Number : 361-221-9345
Fax Number :
Provider Business Practice Location Address
First Line : 2882 HOLLY RD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78415-4106
Country : US
Telephone Number : 361-814-2001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2013
Last Update Date : 04/30/2024

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