Individual provider · Type 1 NPI
Mary Kathleen Martinez, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Albuquerque, NM
NPI number
1013513779
Active
Practice location
4425 Juan Tabo Blvd NE Ste 112
Albuquerque, NM 87111-2684
Fax (866) 530-1835
Mailing address
4425 Juan Tabo Blvd NE
Albuquerque, NM 87111-2681
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APRN-62222 (NM) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1013513779
Mary Kathleen Martinez, PMHNP-BC's National Provider Identifier is 1013513779, issued on Dec 8, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 25, 2025.