Gerise M. Martinez, RNFA
Individual provider Active NPI Registered Nurse First Assistant · Manteno, IL
NPI 1760623664 · NPPES record last updated Mar 23, 2009
Key facts
- NPI
- 1760623664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse First Assistant 163WR0006X
- License
- 041295350 (IL)
- Practice address
- 8955 N 1000W Rd
Manteno, IL 60950-3587 - Phone
- (815) 468-3648
- NPI assigned
- Mar 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041295350 | IL | MD | Registered Nurse First Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 041295350 | IL | Yes |
Addresses
Primary practice location
8955 N 1000W Rd
Manteno, IL 60950-3587
Mailing address
8955 N 1000W Rd
Manteno, IL 60950-3587
Phone (815) 468-3648
Other providers in Manteno, IL
- Manteno Community Fire Protection District
- Manteno Physical Therapy, LLC
- Manteno School District #5
- Manteno Springs Assisted Living
- Robert P Martin
- Martins Ambulance Inc
- Arthur J Mattson
- Lance McCann
- Madison Marie McCormick
- Metropolitan Eyecare Center of Manteno Inc
All providers in Manteno, IL · Registered Nurse First Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.