Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Martinez, RN, CLC

Individual provider Lactation Consultant (Registered Nurse) · NPI 1902737984

Mary Martinez, RN, CLC is a Lactation Consultant (Registered Nurse) in Ithaca, New York. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2026
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

314 E State St
Ithaca, NY 14850-4318
Phone: (339) 234-0164
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence 28208373A (IN)

Record details

NPI number1902737984
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CLC
Sole proprietorYes
NPI enumeratedMay 27, 2026
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026

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