Individual
MARTHA ANN MEADOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
650 ORPHEUS AVE, ENCINITAS, CA 92024-2612
(619) 857-5057
Mailing address
650 ORPHEUS AVE, ENCINITAS, CA 92024
(619) 857-5057
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95005312
CA
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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