Provider Demographics
NPI:1306202023
Name:MARTINEZ, EMILY E (NP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:E
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:850 N OTSEGO AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-1568
Mailing Address - Country:US
Mailing Address - Phone:989-731-7708
Mailing Address - Fax:989-731-7929
Practice Address - Street 1:2572 N US HIGHWAY 131
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:MI
Practice Address - Zip Code:49730-8252
Practice Address - Country:US
Practice Address - Phone:989-731-7700
Practice Address - Fax:989-731-2999
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2020-12-23
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOF96004OtherMEDICARE GROUP NUMBER