Doctor Name: | SHARON MARTINEZ |
NPI Number: | 1417326620 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN192268 |
Business Practice Address: | 1374 W Frontage Rd Rio Rico, AZ - 856486377 |
Business Phone Number: | 5203758308 |
Business Fax Number: | |
Mailing Address: | 399 Villa St, RIO RICO |
State: | AZ |
Postal Code: | 85648 |
Phone Number: | 5207896923 |
Fax Number: | |
NPI Enumeration Date: | 09/17/2015 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN192268 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |