Individual ProviderMarta Hernandez VallinNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664(239) 284-6613PECOS EnrollmentBased on the most recent information from CMS, provider Marta Hernandez Vallin 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 4 days ago.Profile DetailsProvider ID1083643217Provider TypeIndividualFull NameVallin, Marta HernandezCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date7/1/2006Last Updated6/26/2020Contact InformationPractice LocationPractice Address9900 Bren Rd E, Minnetonka, MN 55343-9664Phone(239) 284-6613FaxUnlisted FaxMailing LocationMailing Address2919 SW 39th Ter, Cape Coral, FL 33914-4870Phone(239) 284-6613FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseARNP2799412Florida