Individual provider · Type 1 NPI
Stacie Ann Martin, APRN
Nurse Practitioner · Imperial, CA
Practice location
516 W Aten Rd Ste 2
Imperial, CA 92251-9805
Fax (760) 355-7731
Mailing address
6154 Carling Way
San Diego, CA 92115-5528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95039923 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1538087218
Stacie Ann Martin, APRN's National Provider Identifier is 1538087218, issued on Jul 9, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Imperial, CA. The record was last updated on Jul 9, 2026.