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MARIO P MARTINEZ NP

Individual Provider (NPI-1) Active

Nurse Practitioner

Provider Information

NPI Number
1891904132
Provider Type
Individual Provider (NPI-1)
Credentials
NP
Status
Active

Contact & Location

Address
1115 12TH AVE RD, NAMPA, ID, 836865738
Phone
(208) 498-1080

Specialties & Taxonomies

Nurse Practitioner Primary License: ID #NP-817A

All Addresses

MAILING

10482 W CARLTON BAY DR

GARDEN CITY, ID, 837145143

(208) 955-6500

LOCATION

1115 12TH AVE RD

NAMPA, ID, 836865738

(208) 498-1080