Individual provider · Type 1 NPI

Coelise H. Martin

Child & Adolescent Psychiatric/Mental Health Registered Nurse · Oakland, CA

NPI number 1154965283 Active

Practice location

390 40th St
Oakland, CA 94609-2633

Fax (510) 569-4589

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary 163WP0807XN9378568 (CA)

Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1154965283

Coelise H. Martin's National Provider Identifier is 1154965283, issued on Oct 31, 2019. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Oakland, CA. The record was last updated on Oct 31, 2019.