Provider Demographics
NPI:1326873589
Name:MARTINEZ, ANALI (RD)
Entity type:Individual
Prefix:
First Name:ANALI
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1712 W ANKLAM RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2660
Mailing Address - Country:US
Mailing Address - Phone:520-207-2384
Mailing Address - Fax:520-367-4297
Practice Address - Street 1:1712 W ANKLAM RD STE 101
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2660
Practice Address - Country:US
Practice Address - Phone:520-207-2384
Practice Address - Fax:520-367-4297
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist