Provider Demographics
NPI:1285264937
Name:MARTINEZ, GRACIELLA (APRN FNP-C)
Entity type:Individual
Prefix:
First Name:GRACIELLA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7306 SW 34TH AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79121-1446
Mailing Address - Country:US
Mailing Address - Phone:806-350-8850
Mailing Address - Fax:806-350-8855
Practice Address - Street 1:7306 SW 34TH AVE STE 4
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121-1446
Practice Address - Country:US
Practice Address - Phone:806-350-8850
Practice Address - Fax:806-350-8855
Is Sole Proprietor?:No
Enumeration Date:2020-01-22
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144613363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily