Individual provider · Type 1 NPI
Bonnie Jane Martin, FNP
Family Nurse Practitioner · Stockton, CA
NPI number
1174520480
Active
Practice location
7373 West Ln
Stockton, CA 95210-3377
Fax (209) 476-3675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN230731 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174520480
Bonnie Jane Martin, FNP's National Provider Identifier is 1174520480, issued on Jun 30, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stockton, CA. The record was last updated on Jul 9, 2007.