MRS. ELISE CORY MARTINEZ NP NPI 1588255574

NPI Information

NPI: 1588255574
Provider Name: MRS. ELISE CORY MARTINEZ, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8925 COLONIAL CENTER DR STE 2001
FORT MYERS, FL
ZIP 33905
Phone: (239) 343-9567
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MRS. Elise Cory Martinez, NP is a family nurse practitioner in Fort Myers, FL with 5 years of experience. MRS. Elise Cory Martinez, NP NPI is 1588255574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

8925 COLONIAL CENTER DR STE 2001
FORT MYERS, FL
ZIP 33905-813
Phone: (239) 343-9567
Fax: (239) 343-9571

The NPI 1588255574 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2021 and was last updated on 12/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	5014029	NORTH CAROLINA	No
2	163WX0200X	Registered Nurse	Oncology	247724	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	APRN11016007	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	112257400	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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