MEDICARE: CHERYL LYNN MARTELLI 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	297722	AZ
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2025045719	AZ

General Provider Information

NPI Number	:	1902625197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL LYNN MARTELLI FNP

Provider Business Mailing Address
First Line	:	22836 E PUMMELOS RD
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-2215
Country	:	US
Telephone Number	:	480-688-4270
Fax Number	:

Provider Business Practice Location Address
First Line	:	22836 E PUMMELOS RD
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-2215
Country	:	US
Telephone Number	:	480-688-4270
Fax Number	:

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

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	03/05/2026

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