Brandon Rey Martinez, MSN, PMHNP-BC, APRN | |
2120 Alpine Blvd, Alpine, CA 91901-2113 | |
(702) 526-7610 | |
Not Available |
Full Name | Brandon Rey Martinez |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2120 Alpine Blvd, Alpine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033757711 | NPI | - | NPPES |
CS29727 | Other | NV | NEVADA BOARD OF PHARMACY |
825008 | Other | NV | NEVADA APRN LICENSE |
95022290 | Other | CA | CALIFORNIA NURSE PRACTITIONER AND NURSE PRACTITIONER FURNISHING/PRESCRIBING LIC. |
Entity Name | State Of Nevada |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760572010 PECOS PAC ID: 9234022153 Enrollment ID: O20040212000160 |
Mailing Address | Practice Location Address |
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Brandon Rey Martinez, MSN, PMHNP-BC, APRN 6545 Timber Point St, Las Vegas, NV 89148-4297 Ph: (702) 526-7610 | Brandon Rey Martinez, MSN, PMHNP-BC, APRN 2120 Alpine Blvd, Alpine, CA 91901-2113 Ph: (702) 526-7610 |
Ms. Barbara Lee Lacuesta, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1730 Alpine Blvd, Alpine, CA 91901 Phone: 619-326-4445 | |
Ms. Dianne Javier Malabanan, MSN, FNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1730 Alpine Blvd Ste 205, Alpine, CA 91901 Phone: 619-326-4445 Fax: 619-722-1721 | |
Polina Pavlova, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1730 Alpine Blvd Ste 205, Alpine, CA 91901 Phone: 619-326-4445 Fax: 619-722-1721 | |
Mary Allison Redden, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1832 Alpine Blvd, Alpine, CA 91901 Phone: 619-326-4445 | |
Cari Nickson, A-GNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2142 Alpine Glen Pl, Alpine, CA 91901 Phone: 619-228-5817 | |
Teresa Michelle Hurley, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1620 Alpine Boulevard, Alpine, CA 91901 Phone: 619-445-6200 Fax: 619-320-3347 |