| Doctor Name: | LAURA MAE MARTIN |
| NPI Number: | 1124353966 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN MSN FNP-C |
| License Number: | 18471 |
| Business Practice Address: | 5910 Clark Rd Suite U Paradise, CA - 959694856 |
| Business Phone Number: | 5308729735 |
| Business Fax Number: | |
| Mailing Address: | 5311 Bennett Rd, PARADISE |
| State: | CA |
| Postal Code: | 959696465 |
| Phone Number: | 5307127798 |
| Fax Number: | |
| NPI Enumeration Date: | 10/13/2009 |
| NPI Last Update Date: | 07/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 18471 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |