IndividualActive
David Martinez
NPI 1104458009 · Critical Care Medicine Registered Nurse · Petaluma, CA
Provider details
- NPI number
- 1104458009
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 604147 (CA)
Mailing address
16896 Wilderness Way
Jackson, CA 95642
Registry dates
- Enumerated
- 2020-02-07
- Last updated
- 2020-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.