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Individual
NOELLE MARIE MARTINEZ
Active
Individual
NOELLE MARIE MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95005875
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F02170489
BOARD CERTIFICATION
CA
01
—
NP95005875
STATE MEDICAL LICENSE
CA
01
—
NPF95005875
STATE MEDICAL LICENSE
CA
01
—
RN790855
STATE MEDICAL LICENSE
CA
Enumeration date
04/20/2017
Last updated
07/05/2019
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