Healthcare Provider Details

I. General information

NPI: 1134527492
Provider Name (Legal Business Name): BEATRIZ MARTINEZ PNP, FNP, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BETTY NMN DE LOS SANTOS RN

II. Dates (important events)

Enumeration Date: 12/18/2014
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 ROCK MERRITT AVE
FORT BRAGG NC
28310-0001
US

IV. Provider business mailing address

2817 ROCK MERRITT AVE
FORT BRAGG NC
28310-0001
US

V. Phone/Fax

Practice location:
  • Phone: 910-907-8922
  • Fax: 910-907-6069
Mailing address:
  • Phone: 910-907-8922
  • Fax: 910-907-6069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number198640
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number2980742
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number198640
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: