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Contact Information

MYRA R MARTINEZ, RN
85 WEST HWY 22
SANTO DOMINGO PUEBLO, NM87052
 Phone: 505-465-3060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for MYRA R MARTINEZ · (Female)

NPI Number 1265212088
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 09/29/2023
Last updated 09/29/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NM License # LPN-21886
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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