Martin, Yesenia Maria

Martin, Yesenia Maria is an sole proprietor health care provider with primary practice located at 1255 Golfview Ave , Bartow FL 33830-6736. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Martin, Yesenia Maria can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1255 Golfview Ave Bartow FL 33830-6736
Phone: (863) 519-0575
Fax: (863) 500-3776
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 11020683 Florida

Profile Details

NPI number 1194458802
LBN Legal business name Martin, Yesenia Maria
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2022
Last updated May 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194458802 NPPES
Florida MEDICAID 115348600

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