Individual provider · Type 1 NPI

Keri Martinez, NURSE PRACTITIONER

Adult Health Nurse Practitioner · Stony Brook, NY

NPI number 1114208139 Active · reactivated Sep 26, 2024

Practice location

100 Nicolls Rd
Stony Brook, NY 11794-2107

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF311893 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1114208139

Keri Martinez, NURSE PRACTITIONER's National Provider Identifier is 1114208139, issued on Sep 3, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Stony Brook, NY. The record was last updated on Oct 1, 2024.