Individual
ABIGAIL LEIGH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20778
CA
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.10391
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080847
—
OH
Enumeration date
10/22/2008
Last updated
11/13/2020
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