Provider Demographics
NPI:1235550880
Name:MARTINEZ, SYLVIA ELENA (FNP)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ELENA
Last Name: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 1:6612 QUAIL COVE CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7425
Mailing Address - Country:US
Mailing Address - Phone:915-799-7602
Mailing Address - Fax:
Practice Address - Street 1:6612 QUAIL COVE CT
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-7425
Practice Address - Country:US
Practice Address - Phone:915-799-7602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX689062363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily