| Doctor Name: | MS. MARTHA JEAN WERTZ |
| NPI Number: | 1003851270 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | RO8229 |
| Business Practice Address: | 5155 Acacia Rd Las Cruces, NM - 880117623 |
| Business Phone Number: | 5055224439 |
| Business Fax Number: | |
| Mailing Address: | 5155 Acacia Rd, LAS CRUCES |
| State: | NM |
| Postal Code: | 880117623 |
| Phone Number: | 5055224439 |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | RO8229 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |