Individual provider · Type 1 NPI
David Joseph Martinez
Critical Care Medicine Registered Nurse · Petaluma, CA
NPI number
1104458009
Active
Practice location
2190 S Mcdowell Ext
Petaluma, CA 94954-6902
Mailing address
16896 Wilderness Way
Jackson, CA 95642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 604147 (CA) |
Critical Care Medicine Registered Nurse: Definition to come...
About NPI 1104458009
David Joseph Martinez's National Provider Identifier is 1104458009, issued on Feb 7, 2020. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Petaluma, CA. The record was last updated on Feb 7, 2020.