Provider Demographics
NPI:1831428952
Name:MARTINEZ, NANCY EDITH (RN,CNOR,CST,SA-C)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:EDITH
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:RN,CNOR,CST,SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6110 FLOWER MDW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78222-3441
Mailing Address - Country:US
Mailing Address - Phone:210-867-3770
Mailing Address - Fax:210-368-9370
Practice Address - Street 1:6110 FLOWER MDW
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78222-3441
Practice Address - Country:US
Practice Address - Phone:210-867-3770
Practice Address - Fax:210-368-9370
Is Sole Proprietor?:No
Enumeration Date:2009-12-19
Last Update Date:2009-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX737952163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant