Katie Martinez
Community Health Worker in Las Vegas, NV. Individual provider (NPI-1).
NPI number1104745397
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1104745397
- Entity type
- Individual (NPI-1)
- Name
- Katie Martinez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2026
- Certification date
- Jul 13, 2026
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | CHW2-5213 | NV | Yes |
| 172V00000X | Community Health Worker | CHW1-6049 | NV |
Practice location
401 S Maryland PkwyLas Vegas, NV 89101-7206
Phone 702-906-1859
Mailing address
401 S Maryland PkwyLas Vegas, NV 89101-7206
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