Provider Demographics
NPI:1609610781
Name:MARTINEZ, BRIGITTE MARIE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:MARIE
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 1:5216 HOPEDALE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-4847
Mailing Address - Country:US
Mailing Address - Phone:813-385-1651
Mailing Address - Fax:
Practice Address - Street 1:13274 PINE GAP SPUR STE 101
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-2544
Practice Address - Country:US
Practice Address - Phone:813-200-5959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9607063163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse