Provider Demographics
NPI:1447654751
Name:MARTINEZ, REBECCA LUISA SEDILLO (NP-C, RN, MS)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LUISA SEDILLO
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:NP-C, RN, MS
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5236 GARVIN AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94805-1437
Mailing Address - Country:US
Mailing Address - Phone:408-203-7223
Mailing Address - Fax:
Practice Address - Street 1:1380 HOWARD ST FL 2
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2649
Practice Address - Country:US
Practice Address - Phone:415-552-6242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-15
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001161363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily