Provider Demographics
NPI:1851957591
Name:MARTINEZ, DELENA (FNP-C)
Entity Type:Individual
Prefix:
First Name:DELENA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5302 BUFFALO GAP RD STE 104
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-4251
Mailing Address - Country:US
Mailing Address - Phone:325-307-6226
Mailing Address - Fax:325-307-6288
Practice Address - Street 1:5302 BUFFALO GAP RD STE 104
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-4251
Practice Address - Country:US
Practice Address - Phone:325-307-6226
Practice Address - Fax:325-307-6288
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-17
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140973363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily