Martinez, Gwendolyn Sue

Martinez, Gwendolyn Sue is an individual health care provider with primary practice located at 3100 Spring Forest Rd Suite 130, Raleigh NC 27616-2880. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Martinez, Gwendolyn Sue can be contacted via phone (919) 882-0705.

Contact Information

Primary practice address
3100 Spring Forest Rd Suite 130 Raleigh NC 27616-2880
Phone: (919) 882-0705
Fax: (919) 873-9821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024166964 Virginia

Profile Details

NPI number 1851327993
LBN Legal business name Martinez, Gwendolyn Sue
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 25th, 2023 - about last year

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 1851327993 NPPES
Virginia MEDICAID 1851327993

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