Individual ProviderBreena Elizabeth MartinNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6835 Austin Center Blvd, Austin, TX 78731-3189(512) 346-6611(512) 483-9596PECOS EnrollmentBased on the most recent information from CMS, provider Breena Elizabeth Martin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:13 AM.Profile DetailsProvider ID1013745702Provider TypeIndividualFull NameMartin, Breena ElizabethCredentialMSN, APRN, FNP-CGenderFemaleSole ProprietorYesEnumeration Date7/24/2024Last Updated8/30/2024Contact InformationPractice LocationPractice Address6835 Austin Center Blvd, Austin, TX 78731-3189Phone(512) 346-6611Fax(512) 406-7315Mailing LocationMailing Address6210 E Hwy 290, Austin, TX 78723-1142Phone(512) 483-9596Fax(512) 406-6216Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1169641Texas