Provider Demographics
NPI:1093326092
Name:MARTINEZ ORTIZ, CLAUDIA DENICE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:DENICE
Last Name:MARTINEZ ORTIZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:DENICE
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:909 N JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-9357
Mailing Address - Country:US
Mailing Address - Phone:956-992-9161
Mailing Address - Fax:956-992-9174
Practice Address - Street 1:909 N JACKSON RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9357
Practice Address - Country:US
Practice Address - Phone:956-992-9161
Practice Address - Fax:956-992-9174
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1025737363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner