MEDICARE: ABIGAIL MARTINEZ FNP

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	363LF0000X	Family Nurse Practitioner	AP139057	TX

General Provider Information

NPI Number	:	1821563321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL MARTINEZ FNP

Provider Business Mailing Address
First Line	:	7815 BENIDORM
Second Line	:
City	:	BOERNE
State	:	TX
Zip	:	78015-6608
Country	:	US
Telephone Number	:	830-331-2391
Fax Number	:

Provider Business Practice Location Address
First Line	:	902 KITTY HAWK RD STE 110
Second Line	:
City	:	UNIVERSAL CITY
State	:	TX
Zip	:	78148-3827
Country	:	US
Telephone Number	:	210-659-0889
Fax Number	:

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

Provider Enumeration Date	:	10/10/2018
Last Update Date	:	09/03/2025

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