MILDRED M MARTINEZ NP NPI 1578635140

NPI Information

NPI: 1578635140
Provider Name: MILDRED M MARTINEZ, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
861 CORONADO CENTER DR STE 220
HENDERSON, NV
ZIP 89052
Phone: (702) 357-8811
Get Directions

Mildred M Martinez, NP is a gerontology nurse practitioner in Henderson, NV with 22 years of experience. Mildred M Martinez, NP NPI is 1578635140. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

861 CORONADO CENTER DR STE 220
HENDERSON, NV
ZIP 89052-992
Phone: (702) 357-8811
Fax: (702) 947-5352

The NPI 1578635140 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 11/15/2006 and was last updated on 1/24/2019.

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	363LG0600X	Nurse Practitioner	Gerontology	13396	CALIFORNIA	No
2	363LG0600X	Nurse Practitioner	Gerontology	APRN000964	NEVADA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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