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Provider Information for 1124267711


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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NIA L MARTINEZ LISW


Sex: Female

NPI: 1124267711
Last Updated: 2014-09-10
Certification Date:

Details

NameValue
NPI1124267711
Enumeration Date2009-02-05
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2218 W. GRAND AVE
ARTESIA, NM 88211-0155
United States

Phone: 575-317-2109 | Fax:575-748-6160
 
Primary Practice Address 2218 W. GRAND AVE
ARTESIA, NM 88211-0155
United States

Phone: 575-317-2109 | Fax:575-748-6160
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalNMI-07611