Stacie Ann Martin, APRN
Nurse Practitioner in Imperial, CA. Individual provider (NPI-1).
NPI number1538087218
StatusActive
Last updated in NPPESJul 9, 2026
Details
- NPI
- 1538087218
- Entity type
- Individual (NPI-1)
- Name
- Stacie Ann Martin
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2026
- Certification date
- Jul 9, 2026
- Last updated
- Jul 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95039923 | CA | Yes |
Practice location
516 W Aten Rd Ste 2Imperial, CA 92251-9805
Phone 619-961-8799 · Fax 760-355-7731
Mailing address
6154 Carling WaySan Diego, CA 92115-5528
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Other Nurse Practitioner providers in Imperial, CA
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