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NPI Code Detail

MEDICARE: HEATHER G MARTELON FNP-C

MEDICARE: HEATHER G MARTELON 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
1363L00000XNurse Practitioner209016034IL
2363LF0000XFamily Nurse Practitioner1016912TX

General Provider Information

NPI Number : 1609395052
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER G MARTELON FNP-C
Provider Business Mailing Address
First Line : 120 E SONTERRA BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-3982
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 120 E SONTERRA BLVD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78258-3982
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2017
Last Update Date : 03/10/2025

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Directions to “ HEATHER G MARTELON FNP-C” Practice Location

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