Individual provider · Type 1 NPI
Krystal Lucero Martinez, PMH-NP BC
Psychiatric/Mental Health Nurse Practitioner · Kunkletown, PA
NPI number
1881502409
Active
Practice location
295 Chestnut Ridge Dr
Kunkletown, PA 18058-7165
Mailing address
490 Kunkletown Rd, PO Box 269
Kunkletown, PA 18058-7165
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP037022 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1881502409
Krystal Lucero Martinez, PMH-NP BC's National Provider Identifier is 1881502409, issued on Sep 1, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Kunkletown, PA. The record was last updated on Sep 1, 2026.