Individual provider · Type 1 NPI

Martha Payne

Adult Health Nurse Practitioner · San Jose, CA

NPI number 1962691725 Active

Practice location

55 E Julian St
San Jose, CA 95112-4007

Mailing address

100 Pasito Ter Apt 121
Sunnyvale, CA 94086-4857

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X605598 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1962691725

Martha Payne's National Provider Identifier is 1962691725, issued on Oct 17, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in San Jose, CA. The record was last updated on Oct 17, 2007.