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Individual
MARTINA NANKIVELL
Active
Individual
MARTINA NANKIVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2247
NV
363A00000X
Physician Assistant
7436
AZ
363A00000X
Physician Assistant
PA12836
TX
363A00000X
Physician Assistant
Primary
PA21291
CA
363A00000X
Physician Assistant
PA9116057
FL
Other
Enumeration date
10/18/2010
Last updated
09/23/2023
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