Provider Demographics
NPI:1679583009
Name:TURNER, MARTHA (CNM)
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20391 NEW ROME RD
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-8654
Mailing Address - Country:US
Mailing Address - Phone:530-265-2635
Mailing Address - Fax:530-265-2635
Practice Address - Street 1:110 BOULDER ST
Practice Address - Street 2:SUITE B
Practice Address - City:NEVADA CITY
Practice Address - State:CA
Practice Address - Zip Code:95959-2647
Practice Address - Country:US
Practice Address - Phone:530-265-2635
Practice Address - Fax:530-265-2635
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANMW967367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife