Most Relevant Information
Provider Data
| NPI Number: | 1003205550 |
| Provider Name: | ELISHA MARIE MARTIN MSN, NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 95001415 |
Most Important Dates
| Enumeration Date: | 01/21/2015 |
| Last Updated: | 01/21/2015 |
Provider Practice Location
2801 ATLANTIC AVE
LONG BEACH
CA
908061701
Practice Location Phone/Fax
| Phone: | 3103508902 |
| Fax: |
Provider Mailing Location
23409 PRESIDENT AVE
HARBOR CITY
CA
907101005
Provider Mailing Phone/Fax
| Phone: | 3103508902 |
| Fax: |