Martinez, Juanita Marie
Martinez, Juanita Marie is an individual health care provider with primary practice located at 3501 Health Center Blvd Ste 2310 , Estero FL 34135-8130. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Martinez, Juanita Marie can be contacted via phone (239) 495-5020.Contact Information
Primary practice address
3501 Health Center Blvd Ste 2310
Estero FL 34135-8130
Phone: (239) 495-5020
Fax: (239) 495-5015
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP9419100 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 695949 | Texas |
Profile Details
NPI number | 1093003105 |
---|---|
LBN Legal business name | Martinez, Juanita Marie |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 11th, 2011 |
Last updated | Jul 21st, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093003105 | NPPES |
Texas | MEDICAID | 283458202 | |
Texas | MEDICAID | 019960600 | |
Texas | MEDICAID | 283458201 | |
Texas | MEDICAID | 283458203 | |
Texas | Other | P01041264 |
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