| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARTHA E NEAVILL | 1255905600 | 2023-01-21 |
Martha E Neavill is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1255905600. Registration indicates Martha E Neavill is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) Access to Mental Health/Behavioral Health Providers (Physician Assistants & Advanced Practice Nursing Providers, Certified Clinical Nurse Specialist) (Physician Assistants & Advanced Practice Nursing Providers, Clinical Nurse Specialist) (Clinical Nurse Specialist: Psych/Mental Health, Community, ) (Clinical Nurse Specialist Psych/Mental Health, Community, Physician Assistants & Advanced Practice Nursing Providers) (Clinical Nurse Specialist, ) Access to Mental Health/Behavioral Health Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Psych/Mental Health, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Psych/Mental Health, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Martha E Neavill |
| Practice Office Address | 11301 WILSHIRE BLVD LOS ANGELES, CA US |
| Practice Office Telephone | 3108012528 |
| Mailing Address | 8306 WILSHIRE BLVD # 726 BEVERLY HILLS, CA 902112304 US |
| Business Telephone | 3108012528 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 14233 Arches Ln | Canyon Country, CA 913876238 | 3108012528 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 95072387
CA |
| 364SP0812X | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Certified Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist Clinical Nurse Specialist: Psych/Mental Health, Community Clinical Nurse Specialist Psych/Mental Health, Community Physician Assistants & Advanced Practice Nursing Providers Clinical Nurse Specialist | 2019075790
CA |
| 363LP0808X PRIMARY | Access to Mental Health/Behavioral Health Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Psych/Mental Health All Other Specialties & Provider Types Nurse Practitioner Psych/Mental Health Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 2019075790
CA |
| 193200000X MULT | Group Code |