Individual
ELISA MARIE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 321-6354
Mailing address
3660 ARLINGTON AVE, RIVERSIDE, CA 92506-3987
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
95029741
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95029741
CA
Other
Enumeration date
04/11/2024
Last updated
07/30/2025
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