Individual provider · Type 1 NPI

Martina Sara Cordova, FNP

Family Nurse Practitioner · Clearlake, CA

NPI number 1114793643 Active

Practice location

15630 18th Ave
Clearlake, CA 95422-9336

Mailing address

1583 Gladstone Way
Rohnert Park, CA 94928-1592

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X95026363 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1114793643

Martina Sara Cordova, FNP's National Provider Identifier is 1114793643, issued on Nov 27, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clearlake, CA. The record was last updated on Nov 27, 2023.