Individual provider · Type 1 NPI

Jeremy Martinez

Licensed Practical Nurse · Espanola, NM

NPI number 1477943009 Active

Practice location

208 Guachupangue Rd
Espanola, NM 87532

Call (505) 852-3865 Map

Mailing address

PO Box 3935
Espanola, NM 87533

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLPN-22091 (NM)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1477943009

Jeremy Martinez's National Provider Identifier is 1477943009, issued on Feb 4, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Espanola, NM. The record was last updated on Feb 4, 2015.