Martha Marti Counts Brittenham, CFNP

Individual provider Active NPI Family Nurse Practitioner · Albuquerque, NM

NPI 1376769950 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1376769950
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
R12012 (NM)
Practice address
525 Buena Vista Dr SE
Albuquerque, NM 87106-4023
Phone
(505) 224-3080
Fax
(505) 224-3089
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R12012NMMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R12012 NM Yes

Addresses

Primary practice location

525 Buena Vista Dr SE
Albuquerque, NM 87106-4023

Mailing address

PO Box 1022
Tijeras, NM 87059-1022
Phone (505) 224-3080

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Family Nurse Practitioner in New Mexico

Sources for this page

Verify at the official NPI Registry.