SAMMY MARTINEZ 164W00000X
NPI 1225492960
Licensed Practical Nurse in Jblm, WA

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since April 08, 2016

9040 JACKSON AVENUE, JBLM, WA 98431(253) 968-0758 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Sammy Martinez 164w00000x NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMMY MARTINEZ 164W00000X (NPI 1225492960) is an individual licensed practical nurse in Jblm, Washington, licensed in Texas (317949) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1225492960

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameSAMMY MARTINEZCredential: 164W00000X

Location Address9040 JACKSON AVENUEJblm, WA 98431

Mailing Address9040 Jackson Avenue, Madigan Army Medical Center,Jblm, WA 98431

Phone(253) 968-0758

Sole ProprietorNo

Enumeration DateApril 8, 2016

✔ NPI 1225492960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in TX · 317949

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

9040 JACKSON AVENUE, Jblm, WA 98431

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