Individual
MARTHA E NEAVILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073
(310) 801-2528
Mailing address
8306 WILSHIRE BLVD # 726, BEVERLY HILLS, CA 90211-2304
(310) 801-2528
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019075790
CA
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2019075790
CA
Other
Enumeration date
05/19/2021
Last updated
10/01/2025
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