Individual
MS. DEBRA A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1107 WEST POPLAR AVE., PORTERVILLE, CA 93257-5839
(559) 781-7242
(559) 793-3542
Mailing address
305 EAST CENTER AVE., VISALIA, CA 93291-6331
(559) 737-4700
(559) 737-4782
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP6167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084020
—
CA
01
—
P00072073
MEDICARE RAILROAD
CA
Enumeration date
03/13/2007
Last updated
07/30/2013
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