Provider Demographics
NPI:1902815970
Name:MARTINEZ, NORA E (FNP)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:E
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:E
Other - Last Name:GUDINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1204 E CAMELIA AVE
Mailing Address - Street 2:
Mailing Address - City:HIDALGO
Mailing Address - State:TX
Mailing Address - Zip Code:78557-2658
Mailing Address - Country:US
Mailing Address - Phone:956-383-4041
Mailing Address - Fax:956-316-0263
Practice Address - Street 1:4717 S SUGAR RD STE H
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7212
Practice Address - Country:US
Practice Address - Phone:956-381-4040
Practice Address - Fax:956-383-4183
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP115168363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX643156OtherNP LICENSE
TX183131502Medicaid
TXAP115168OtherTEXAS BOARD OF NURSES FNP LICENSE