Individual
MARTINA NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1661 SOQUEL DR, SUITE A, SANTA CRUZ, CA 95065-1787
(831) 476-7676
(831) 476-4824
Mailing address
1661 SOQUEL DR STE A, SANTA CRUZ, CA 95065-1709
(831) 476-7676
(831) 476-4824
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
BN1176165
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G358690
—
CA
Enumeration date
12/13/2006
Last updated
03/07/2023
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