Individual provider · Type 1 NPI

La Tisha Martinez, NP

Nurse Practitioner · Albuquerque, NM

NPI number 1174367312 Active

Practice location

3825 Eubank Blvd NE Ste A
Albuquerque, NM 87111-3590

Call (052) 928-5755 Map

Fax (505) 292-8409

Mailing address

5900 Canyon Vista Dr NE
Albuquerque, NM 87111-6621

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	79563 (NM)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174367312

La Tisha Martinez, NP's National Provider Identifier is 1174367312, issued on Jun 22, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 10, 2025.