Provider Demographics
NPI:1083502058
Name:CRESPO MARTINEZ, ANA MARIA (FNP)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:MARIA
Last Name:CRESPO MARTINEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15345 LEISURE DR
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-2535
Mailing Address - Country:US
Mailing Address - Phone:602-313-9621
Mailing Address - Fax:
Practice Address - Street 1:15345 LEISURE DR
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-2535
Practice Address - Country:US
Practice Address - Phone:602-313-9621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11040378363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily