Provider Demographics
NPI:1124742325
Name:MARTINEZ CHAO, DAYANA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:DAYANA
Middle Name:
Last Name:MARTINEZ CHAO
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3926 AVENUE H STE 15
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-2842
Mailing Address - Country:US
Mailing Address - Phone:281-232-8883
Mailing Address - Fax:281-232-8886
Practice Address - Street 1:3926 AVENUE H STE 15
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-2842
Practice Address - Country:US
Practice Address - Phone:281-232-8883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1114670363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily