SUEZANNE K. MARTIN (NPI# 1396237210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396237210 |
| Entity Type | Individual |
| Full Name | SUEZANNE K. MARTIN |
| Credential | AGACNP-BC |
| Practice Address |
1233 N Main St Ste 1a San Luis AZ 85336 |
| Mailing Address |
Po Box 617 Somerton AZ 85350-0617 |
| Practice Telephone | 9285505514 |
| Practice Fax Number | 9287226113 |
| Mailing Telephone | 9283157910 |
| Mailing Fax Number | 9287226113 |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP11333 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2045 S 14th Ave Unit 2, Yuma, AZ 853646285 | 6029990867 |
| Street Address |
1233 N MAIN ST STE 1A |
| City | SAN LUIS |
| State | AZ |
| Zip Code | 85336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144680455 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 1233 N Main St Ste 1a, San Luis, AZ 85336-0663 | 2016-02-29 |
| 1457826224 | Jaime Emmanuel Valles | Registered Nurse | 1233 N Main St Ste 1a, San Luis, AZ 85336-0663 | 2018-10-09 |
| 1609399989 | Christina Alyssa Gutierrez | Registered Nurse | 1233 N Main St Ste 1a, San Luis, AZ 85349 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699955070 | Joseph D. Gallemore Dds & Associates P.C. | Dentist | 1946 E Juan Sanchez Blvd Ste 5, San Luis, AZ 85336-0478 | 2007-11-14 |
| 1386287753 | San Jose Integrated Clinic LLC | Nurse Practitioner | 2000 E Juan Sanchez Blvd, San Luis, AZ 85336-0481 | 2019-10-17 |
| 1972142123 | Taylor Stevenson Buce | Pharmacist | 1613 N Main St, San Luis, AZ 85336-0667 | 2020-01-04 |
| 1316552516 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 2, San Luis, AZ 85336-0756 | 2020-09-14 |
| 1447865654 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 3, San Luis, AZ 85336-0756 | 2020-09-14 |
| 1457966657 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 5, San Luis, AZ 85336-0756 | 2020-09-14 |
| 1083229843 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 7, San Luis, AZ 85336-0756 | 2020-09-09 |
| 1114549987 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 151 S Oak Ave Ste 6, San Luis, AZ 85336-0756 | 2020-05-14 |
| 1104228337 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 1896 E Babbit Ln, San Luis, AZ 85336-7820 | 2014-09-18 |
| 1861780231 | San Luis Walk-in Clinic, Inc. | Clinic/Center | 1896 E Babbit Ln, San Luis, AZ 85336-7820 | 2011-07-19 |
| Find all providers in zip 85336 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841848 | Jan-michael B Corella | Nurse Practitioner | 6749 E Lewis Ave, Scottsdale, AZ 85257-2008 | 2020-11-03 |
| 1841890969 | Kristen Cox | Nurse Practitioner | 35714 N 34th Ln, Phoenix, AZ 85086-2264 | 2020-10-28 |
| 1326645250 | Nalini Thangaraju | Nurse Practitioner | 4426 E Yellowstone Pl, Chandler, AZ 85249-0512 | 2020-10-04 |
| 1760097570 | Justin Thomas Partlow | Nurse Practitioner | 3124 E Bloomfield Rd, Phoenix, AZ 85032-7109 | 2020-09-09 |
| 1083226989 | Hillary Lamar | Nurse Practitioner | 3500 N Sabino Canyon Rd Unit 59, Tucson, AZ 85750-6141 | 2020-08-21 |
| 1336759976 | Lindsey Renee Reed | Nurse Practitioner | 1581 S 6th Ave, Yuma, AZ 85364-4684 | 2020-08-07 |
| 1841800828 | Karen Eckhert Patruno | Nurse Practitioner | 6177 E Karen Dr, Scottsdale, AZ 85254-2526 | 2020-08-05 |
| 1295352334 | Adrian Emil Stamp | Nurse Practitioner | 12641 N 19th St, Phoenix, AZ 85022-5735 | 2020-07-04 |
| 1093332082 | Marissa Katherine Chase | Nurse Practitioner | 340 E Palm Ln # A175, Phoenix, AZ 85004-4603 | 2020-06-25 |
| 1356967020 | Shay Linn Davis | Nurse Practitioner | 345 W Mount Elden Lookout Rd, Flagstaff, AZ 86001-3801 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.