Martinez, Bernadette Andrea

Martinez, Bernadette Andrea is an individual health care provider with primary practice located at 310 La Jara St , Bloomfield NM 87413-6626. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Martinez, Bernadette Andrea can be contacted via phone (505) 634-3891.

Contact Information

Primary practice address
310 La Jara St Bloomfield NM 87413-6626
Phone: (505) 634-3891
Fax: (505) 634-3856
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X L18680 New Mexico

Profile Details

NPI number 1053528745
LBN Legal business name Martinez, Bernadette Andrea
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Jul 9th, 2007 - about 17 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 1053528745 NPPES
New Mexico MEDICAID 64434826

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