MEDICARE: CONRAD MICHEAL MARTINEZ RN

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	163WN0800X	Neuroscience Registered Nurse	96099	NE

General Provider Information

NPI Number	:	1467304345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONRAD MICHEAL MARTINEZ RN

Provider Business Mailing Address
First Line	:	2222 S 16TH ST STE 340
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68502-3785
Country	:	US
Telephone Number	:	402-483-8534
Fax Number	:	402-483-8531

Provider Business Practice Location Address
First Line	:	2222 S 16TH ST STE 340
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68502-3785
Country	:	US
Telephone Number	:	402-483-8534
Fax Number	:	402-483-8531

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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