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Contact Information

ANGELA C MARTINEZ, NP-C
17561 HIGHWAY B
BOONVILLE, MO65340
 Phone: 660-882-4140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANGELA C MARTINEZ · (Female)

NPI Number 1235461658
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 02/10/2010
Last updated 03/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 20100004413
  • MO License # 2010004413
Hospital affiliation(s)
  • BOONE HOSPITAL CENTER - (Acute Care)
    1600 E BROADWAY
    COLUMBIA, MO 65201
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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