Provider Demographics
NPI:1639702566
Name:MARTIN, TRANEE MONIQUE (LVN)
Entity Type:Individual
Prefix:MRS
First Name:TRANEE
Middle Name:MONIQUE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 NOBLE SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-2105
Mailing Address - Country:US
Mailing Address - Phone:832-909-8893
Mailing Address - Fax:
Practice Address - Street 1:910 NOBLE SPRINGS RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-2105
Practice Address - Country:US
Practice Address - Phone:832-909-8893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX323867164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse