Mrs. Elisha Marie Martin
Nurse Practitioner - Acute Care
2801 Atlantic Ave
Long Beach
, California 90806-1701
Mrs. Elisha Marie Martin
Nurse Practitioner - Acute Care
2801 Atlantic Ave
Long Beach
, California 90806-1701
(310) 350-8902
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Mrs. Elisha Marie Martin
- 23409 President Ave
- Harbor City, CA
- Zip : 90710-1005
- Phone : (310) 350-8902
Second Address
- Mrs. Elisha Marie Martin
- 2801 Atlantic Ave
- Long Beach, CA
- Zip : 90806-1701
- Phone : (310) 350-8902
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 95001415 | CA |
National Provider Identifier
| NPI | 1003205550 |
|---|---|
| Provider Name | Mrs. Elisha Marie Martin |
| First Address | Harbor City, CA 90710-1005 |
| Second Address | Long Beach, CA 90806-1701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/01/2015 |
| Last Update Date | 21/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.