Provider Demographics
NPI:1134527492
Name:MARTINEZ, BEATRIZ (PNP, FNP, DNP)
Entity type:Individual
Prefix:DR
First Name:BEATRIZ
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:PNP, FNP, DNP
Other - Prefix:MS
Other - First Name:BETTY
Other - Middle Name:NMN
Other - Last Name:DE LOS SANTOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:BLDG 5-4257
Mailing Address - Street 2:BASTOGNE EXT
Mailing Address - City:APO
Mailing Address - State:AA
Mailing Address - Zip Code:28310
Mailing Address - Country:US
Mailing Address - Phone:910-907-9725
Mailing Address - Fax:910-907-9622
Practice Address - Street 1:1061 HARMON AVE
Practice Address - Street 2:
Practice Address - City:FORT STEWART
Practice Address - State:GA
Practice Address - Zip Code:31314-5641
Practice Address - Country:US
Practice Address - Phone:912-435-6965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-18
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC198640363LP0200X, 363LF0000X
FL2980742363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily