NPI 1477943009

Jeremy Martinez

Practitioner Licensed Practical Nurse Espanola, NM

Practice location

Address: 208 Guachupangue Rd, Espanola, NM 87532
Phone: (505) 852-3865
Mailing address: PO Box 3935, Espanola, NM 87533

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN-22091 (NM)

Other Licensed Practical Nurse providers in New Mexico →

Registry record

NPI: 1477943009
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2015
Record last updated: 4 Feb 2015

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.