| Doctor Name: | MRS. ELISHA MARIE MARTIN |
| NPI Number: | 1003205550 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, NP |
| License Number: | 95001415 |
| Business Practice Address: | 2801 Atlantic Ave Long Beach, CA - 908061701 |
| Business Phone Number: | 3103508902 |
| Business Fax Number: | |
| Mailing Address: | 23409 President Ave, HARBOR CITY |
| State: | CA |
| Postal Code: | 907101005 |
| Phone Number: | 3103508902 |
| Fax Number: | |
| NPI Enumeration Date: | 01/21/2015 |
| NPI Last Update Date: | 01/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 95001415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |