Individual provider · Type 1 NPI
Licet Martinez Queija
Nurse Practitioner · Port St. Lucie, FL
Practice location
1915 SW Jamesport Dr
Port St. Lucie, FL 34953-4597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11043054 (FL) |
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 1922965706
Licet Martinez Queija's National Provider Identifier is 1922965706, issued on Jan 5, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jan 27, 2026.