MARTINA NEKOKSA CORNELL NP
Nursing Yellow Pages
Cupertino, California
Provider NPI: 1033266036
Provider Information:MARTINA NEKOKSA CORNELL NP
Practice Location:
19000 HOMESTEAD RD CUPERTINO, CA 95014 US
Tel: 408-366-4200 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 163WA0400X | Nursing Service Providers Registered Nurse Addiction (Substance Use Disorder) | CA | 398191 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NURSE PRACTITIONER | 12130 | CA | 01 |
REGISTERED NURSE | 398191 | CA | 01 |
DEA | MN-0871574 | CA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin