Provider Demographics
NPI:1033493010
Name:MARTINEZ-ANDERSON, DINORAH (FNP-C)
Entity Type:Individual
Prefix:
First Name:DINORAH
Middle Name:
Last Name:MARTINEZ-ANDERSON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 UNIVERSITY BLVD
Mailing Address - Street 2:TEXAS STATE UNIVERSITY STUDENT HEALTH CENTER
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665
Mailing Address - Country:US
Mailing Address - Phone:512-245-2161
Mailing Address - Fax:512-245-9260
Practice Address - Street 1:1001 E UNIVERSITY AVE
Practice Address - Street 2:SOUTHWESTERN UNIVERSITY HEALTH SERVICES
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-6100
Practice Address - Country:US
Practice Address - Phone:512-863-1252
Practice Address - Fax:512-863-1814
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX601522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily