NPI 1093224685

Colleen Martinez

Practitioner Licensed Practical Nurse Mesa, AZ

Practice location

Address: 717 N Santa Anna, Mesa, AZ 85201-4429
Phone: (480) 688-0521

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LP045839 (AZ)

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Registry record

NPI: 1093224685
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Sep 2017
Record last updated: 26 Sep 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.