Individual provider · Type 1 NPI
Mary Martin
Nurse Practitioner · Santa Cruz, CA
Practice location
2025 Soquel Ave
Santa Cruz, CA 95062-1323
Mailing address
PO Box 1833
Santa Cruz, CA 95061-1833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP586 (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 1912977315
Mary Martin's National Provider Identifier is 1912977315, issued on Jan 26, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Santa Cruz, CA. The record was last updated on Jul 13, 2026.