Provider Demographics
NPI:1275203838
Name:MARTINEZ, KRYSTLE NICOLE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:KRYSTLE
Middle Name:NICOLE
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78333-0850
Mailing Address - Country:US
Mailing Address - Phone:361-664-0303
Mailing Address - Fax:866-845-0933
Practice Address - Street 1:5710 ESPLANADE DRIVE
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4165
Practice Address - Country:US
Practice Address - Phone:361-991-8000
Practice Address - Fax:877-494-7986
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1054546363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily