Provider Demographics
NPI:1821132606
Name:MARTINEZ, BRENDA J (RN)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:J
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 SHAFFER PKWY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3004
Mailing Address - Country:US
Mailing Address - Phone:720-922-5229
Mailing Address - Fax:
Practice Address - Street 1:7600 SHAFFER PKWY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3004
Practice Address - Country:US
Practice Address - Phone:720-922-5229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO160078163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
007082OtherKAISER-COMMERCIAL NUMBER