Doctor Name: | DINORAH MARTINEZ-ANDERSON |
NPI Number: | 1033493010 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 601522 |
Business Practice Address: | 1001 E University Ave Southwestern University Health Services Georgetown, TX - 786266100 |
Business Phone Number: | 5128631252 |
Business Fax Number: | 5128631814 |
Mailing Address: | 1555 University Blvd, Texas State University Student Health Center ROUND ROCK |
State: | TX |
Postal Code: | 78665 |
Phone Number: | 5122452161 |
Fax Number: | 5122459260 |
NPI Enumeration Date: | 10/07/2011 |
NPI Last Update Date: | 04/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 601522 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |