Individual
MARTHA S MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN,
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 445-7710
(707) 476-4061
Mailing address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 445-7710
(707) 476-4061
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
809314
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163WP0808X
—
CA
Enumeration date
12/17/2015
Last updated
03/20/2023
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