Individual
MARTINA NEKOKSA CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19000 HOMESTEAD RD, CUPERTINO, CA 95014-0712
(408) 366-4200
Mailing address
19000 HOMESTEAD RD, CUPERTINO, CA 95014-0712
(408) 366-4200
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
398191
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12130
NURSE PRACTITIONER
CA
01
—
398191
REGISTERED NURSE
CA
Enumeration date
01/04/2007
Last updated
03/07/2023
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