Individual
BARBARA ANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
6065 STATE HIGHWAY 193, GEORGETOWN, CA 95634-9623
(530) 333-2548
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(855) 771-0335
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
RN209038
CA
363LF0000X
Family Nurse Practitioner
Primary
RN209038
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EPS015490
—
CA
05
—
RVN003800
—
CA
Enumeration date
01/16/2007
Last updated
07/10/2015
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