Provider Demographics
NPI:1003064080
Name:MURIEL, MARTHA EMILY (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MISS
First Name:MARTHA
Middle Name:EMILY
Last Name:MURIEL
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2829 S GRAND AVE
Mailing Address - Street 2:ROOM # 213
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-3304
Mailing Address - Country:US
Mailing Address - Phone:213-744-6120
Mailing Address - Fax:213-749-6601
Practice Address - Street 1:2829 S GRAND AVE
Practice Address - Street 2:ROOM # 213
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-3304
Practice Address - Country:US
Practice Address - Phone:213-744-6120
Practice Address - Fax:213-749-6601
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA275913363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily