Individual provider · Type 1 NPI

Stacy L. Martin

Student in an Organized Health Care Education/Training Program · Portales, NM

NPI number 1710403514 Active

Practice location

1500 S Avenue K # 3
Portales, NM 88130-7400

Call (575) 562-2160 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5 other providers at this address

Other student in an organized health care education/training program providers in Portales

See all in Portales →

About NPI 1710403514

Stacy L. Martin's National Provider Identifier is 1710403514, issued on Aug 14, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portales, NM. The record was last updated on Aug 14, 2017.