Individual
BONNIE B MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Contact information
Practice address
24401 HEALTH CENTER DR., SUITE 300, LAGUNA HILLS, CA 92653
(949) 770-4115
(949) 770-3422
Mailing address
24401 HEALTH CENTER DR., SUITE 300, LAGUNA HILLS, CA 92653
(949) 770-4115
(949) 770-3422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00154078
WA
367A00000X
Advanced Practice Midwife
AP30006787
WA
367A00000X
Advanced Practice Midwife
Primary
CNM236497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018722
—
WA
05
—
9642976
—
WA
Enumeration date
07/18/2006
Last updated
10/07/2024
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